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1711 E Central Texas Expy Ste 101 Killeen TX 76541-9145 | |
| (254) 501-3745 | |
| (254) 501-3608 |
| Full Name | |
|---|---|
| Speciality | Counselor |
| Location | 1711 E Central Texas Expy Ste 101, Killeen, Texas |
| Authorized Official Name and Position | Amy-jo Catherine Neujahr (OWNER) |
| Authorized Official Contact | 2545013745 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
2503 Schulze Dr Killeen TX 76549-8565 Ph: (254) 501-3745 | 1711 E Central Texas Expy Ste 101 Killeen TX 76541-9145 Ph: (254) 501-3745 |
| NPI Number | 1649714643 |
|---|---|
| Provider Enumeration Date | 12/09/2016 |
| Last Update Date | 04/12/2017 |
| Medicare PECOS PAC ID | 0042588956 |
|---|---|
| Medicare Enrollment ID | O20170619000964 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649714643 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Pamela Haynes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154339638 PECOS PAC ID: 5597701193 Enrollment ID: I20050706000045 |
| Provider Name | Annette Susan Kauffroth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144622200 PECOS PAC ID: 8325362478 Enrollment ID: I20150120000326 |
| Provider Name | Tanya R Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003075813 PECOS PAC ID: 9638477946 Enrollment ID: I20160419002142 |
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