Healthcare Provider Details

I. General information

NPI: 1316639883
Provider Name (Legal Business Name): COUNSELING COVE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2023
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

708 N MAIN ST APT O
ECTOR TX
75439-2040
US

IV. Provider business mailing address

PO BOX 1
ECTOR TX
75439-0001
US

V. Phone/Fax

Practice location:
  • Phone: 903-698-7455
  • Fax: 903-388-9141
Mailing address:
  • Phone: 903-818-8047
  • Fax: 903-698-7455

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MELODY MCKIBBIN
Title or Position: OWNER
Credential: LMHC
Phone: 903-818-8047