Healthcare Provider Details

I. General information

NPI: 1366241663
Provider Name (Legal Business Name): CROSSING JORDAN COUNSELING AND CONSULTING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2025
Last Update Date: 03/10/2025
Certification Date: 03/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2616 S LOOP W STE 585
HOUSTON TX
77054-2627
US

IV. Provider business mailing address

4722 OWENS GLEN CT
FRESNO TX
77545-8466
US

V. Phone/Fax

Practice location:
  • Phone: 281-845-4110
  • Fax:
Mailing address:
  • Phone: 409-893-0847
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MS. DONNA GIBBS
Title or Position: OWNER/ FOUNDER
Credential:
Phone: 409-893-0847