Provider Demographics
NPI:1710339320
Name:CHAPMAN COUNSELING CENTER
Entity Type:Organization
Organization Name:CHAPMAN COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARICELA
Authorized Official - Middle Name:RUBI
Authorized Official - Last Name:CHAPMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:951-662-4038
Mailing Address - Street 1:1519 FLORENCE RD
Mailing Address - Street 2:SUITE 16
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76541-7979
Mailing Address - Country:US
Mailing Address - Phone:915-662-4038
Mailing Address - Fax:254-774-9315
Practice Address - Street 1:1519 FLORENCE RD
Practice Address - Street 2:SUITE 16
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76541-7979
Practice Address - Country:US
Practice Address - Phone:915-662-4038
Practice Address - Fax:254-774-9315
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-07
Last Update Date:2016-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX202406261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)