Provider Demographics
NPI:1346991452
Name:HART, KATURA TRAMAINE
Entity Type:Individual
Prefix:
First Name:KATURA
Middle Name:TRAMAINE
Last Name:HART
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KATURA
Other - Middle Name:TRAMAINE
Other - Last Name:HARRELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:400 W STAN SCHLUETER LOOP STE 3
Mailing Address - Street 2:
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76542-3839
Mailing Address - Country:US
Mailing Address - Phone:254-630-1578
Mailing Address - Fax:
Practice Address - Street 1:1221 W BEN WHITE BLVD STE 210A
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78704-7182
Practice Address - Country:US
Practice Address - Phone:512-960-4533
Practice Address - Fax:512-887-3970
Is Sole Proprietor?:No
Enumeration Date:2022-01-11
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106S00000X
TX109759104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician