Provider Demographics
NPI: | 1952121642 |
---|---|
Name: | HOOFBEATS THERAPEUTICS PLLC |
Entity type: | Organization |
Organization Name: | HOOFBEATS THERAPEUTICS PLLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | KRISTIN |
Authorized Official - Middle Name: | LEIGH |
Authorized Official - Last Name: | TINDELL |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | LPC-S |
Authorized Official - Phone: | 254-760-0494 |
Mailing Address - Street 1: | 1020 TRIMMIER RD |
Mailing Address - Street 2: | |
Mailing Address - City: | KILLEEN |
Mailing Address - State: | TX |
Mailing Address - Zip Code: | 76541-8029 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 254-285-7499 |
Mailing Address - Fax: | 254-488-4146 |
Practice Address - Street 1: | 315 E AVENUE D |
Practice Address - Street 2: | |
Practice Address - City: | KILLEEN |
Practice Address - State: | TX |
Practice Address - Zip Code: | 76541-5240 |
Practice Address - Country: | US |
Practice Address - Phone: | 254-285-7499 |
Practice Address - Fax: | 254-488-4146 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | Yes |
Parent Organization LBN: | HOOFBEATS THERAPEUTICS PLLC |
Parent Organization TIN: | <UNAVAIL> |
Enumeration Date: | 2024-10-16 |
Last Update Date: | 2024-10-16 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | Professional | Group - Single Specialty |