Provider Demographics
NPI:1518426758
Name:BOROS, PAULA (PHD, LMFT-S)
Entity Type:Individual
Prefix:DR
First Name:PAULA
Middle Name:
Last Name:BOROS
Suffix:
Gender:F
Credentials:PHD, LMFT-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2511 TRIMMER RD SUITE 140 PB 138
Mailing Address - Street 2:
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76542
Mailing Address - Country:US
Mailing Address - Phone:254-394-8212
Mailing Address - Fax:
Practice Address - Street 1:2511 TRIMMIER RD STE 140
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76542-1910
Practice Address - Country:US
Practice Address - Phone:254-394-8212
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-18
Last Update Date:2021-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3458106H00000X
TX203704106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL3458OtherDEPARTMENT OF HEALTH MARRIAGE AND FAMILY THERAPIST
TX203704OtherTEXAS STATE BOARD OF EXAMINERS OF MARRIAGE AND FAMILY THERAPISTS