| D/b/a Counselors Of Texax | |
|
1805 Florence Rd. Suite 10 Killeen TX 76541 | |
| (254) 526-4673 | |
| (254) 526-4853 |
| Full Name | D/b/a Counselors Of Texax |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1805 Florence Rd., Killeen, Texas |
| Authorized Official Name and Position | Jeffrey S Pirtle (PRIMARY PROVIDER) |
| Authorized Official Contact | 2545264673 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| D/b/a Counselors Of Texax P.o. Box 416 Temple TX 76503 Ph: (254) 778-4673 | D/b/a Counselors Of Texax 1805 Florence Rd. Suite 10 Killeen TX 76541 Ph: (254) 526-4673 |
| NPI Number | 1528067576 |
|---|---|
| Provider Enumeration Date | 07/20/2005 |
| Last Update Date | 02/14/2024 |
| Certification Date | 02/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528067576 | NPI | - | NPPES |
| 085431701 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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