Provider Demographics
NPI:1487740759
Name:CRISIS & CHRISTIAN COUNSELING, INC
Entity type:Organization
Organization Name:CRISIS & CHRISTIAN COUNSELING, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:B
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:JR
Authorized Official - Credentials:PHD
Authorized Official - Phone:904-354-2594
Mailing Address - Street 1:PO BOX 26584
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32226-6584
Mailing Address - Country:US
Mailing Address - Phone:904-354-2594
Mailing Address - Fax:904-354-1963
Practice Address - Street 1:2700 FIRE FIGHTER MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32246-9539
Practice Address - Country:US
Practice Address - Phone:904-354-2594
Practice Address - Fax:904-354-1963
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLWI75632101YP1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralGroup - Single Specialty