Provider Demographics
NPI:1104365972
Name:COUNSELING ASSOCIATES OF CENTRAL TEXAS
Entity Type:Organization
Organization Name:COUNSELING ASSOCIATES OF CENTRAL TEXAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:AMY-JO
Authorized Official - Middle Name:C
Authorized Official - Last Name:NEUJAHR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:254-501-3745
Mailing Address - Street 1:2503 SCHULZE DR
Mailing Address - Street 2:
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76549-8565
Mailing Address - Country:US
Mailing Address - Phone:254-501-3745
Mailing Address - Fax:254-501-3608
Practice Address - Street 1:1711 E CENTRAL TEXAS EXPY STE 100A
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76541-9145
Practice Address - Country:US
Practice Address - Phone:254-501-3745
Practice Address - Fax:254-501-3608
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-14
Last Update Date:2017-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX200952106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty