OrganizationJireh Christian Center(Jireh Counseling Center)CounselorBehavioral Health & Social Service ProvidersPractice Address10701 Corporate Dr. Ste 209, Stafford, TX 77477-4050(346) 874-7105PECOS EnrollmentBased on the most recent information from CMS, provider Jireh Christian Center does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 4:18 PM.Profile DetailsProvider ID1912050154Provider TypeOrganizationFull NameJireh Christian CenterOther NameJireh Counseling CenterSubpartNoEnumeration Date1/19/2007Last Updated11/8/2018Contact InformationPractice LocationPractice Address10701 Corporate Dr. Ste 209, Stafford, TX 77477-4050Phone(346) 874-7105Fax(346) 874-7106Mailing LocationMailing Address10701 Corporate Dr. Ste 209, Stafford, TX 77477-4050Phone(346) 874-7105FaxUnlisted FaxAuthorized OfficialNameGoins, Verdale (Director)Phone(303) 366-8424Provider TaxonomiesCodeDescriptionLicenseCode101YP2500XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerColoradoProvider IdentifiersIDDescriptionIssuerID37557201DescriptionMedicaidIssuerUnlistedTexas