# END2BEGIN

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- **Entity:** Organization
- **Status:** Active
- **Other names:** KKCTX, Kind Kid's Club
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053980029
- **Authorized official:** MRS. TAMMY CANTU M.A., NCC, LCDC, LPC (PRESIDENT)
- **Authorized official phone:** (210) 834-5017

## Contact information

- **Practice address:** 543 LEXINGTON PASS, CANYON LAKE, TX 78133-3268
- **Practice address phone:** (210) 834-5017
- **Mailing address:** 543 LEXINGTON PASS, CANYON LAKE, TX 78133-3268
- **Mailing address phone:** (210) 834-5017

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 06/23/2021
- **Last updated:** 03/28/2025