Healthcare Provider Details

I. General information

NPI: 1306769963
Provider Name (Legal Business Name): CLEAR FLAME COUNSELING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2505 WASHINGTON AVE STE 9
WACO TX
76710-7408
US

IV. Provider business mailing address

1710 KELLER PKWY # 4404
KELLER TX
76248-3749
US

V. Phone/Fax

Practice location:
  • Phone: 254-481-9860
  • Fax: 254-244-5687
Mailing address:
  • Phone: 254-481-9860
  • Fax: 254-244-5687

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: JESSE LEVI MAGGARD
Title or Position: OWNER/MANAGING MEMBER
Credential: MS, LPC
Phone: 254-481-9860