Coppell Family Therapy PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

17316 Issued in TX

Legal business name

COPPELL FAMILY THERAPY PLLC

Practice address

702 S Denton Tap Rd
Suite 140
Coppell, TX 75019-4540

Phone

(469) 544-2118

Fax

(972) 692-5844

NPI assigned

Jun 4, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Audrey Kteily, PHDNPI 1316085582

Title

Owner

Phone

(469) 544-2118

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Audrey Ellen Kteily, LPC-S

  • Professional Counselor
  • Coppell, TX
  • NPI 1316085582
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401840000000",
    "number": "1346653748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 S DENTON TAP RD",
            "address_2": "SUITE 140",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750194540",
            "telephone_number": "469-544-2118",
            "fax_number": "972-692-5844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 S DENTON TAP RD",
            "address_2": "SUITE 140",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750194540",
            "telephone_number": "469-544-2118",
            "fax_number": "972-692-5844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPPELL FAMILY THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-04",
        "last_updated": "2014-06-04",
        "status": "A",
        "authorized_official_last_name": "KTEILY",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-544-2118",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "17316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Coppell Family Medical Center, P.a.
• Coppell Family Therapy PC
• Coppell Independent School District
• Coppell Minor Emergency Center P.a.
• Coppell Modern Dentistry, PC
• Coppell Oral and Facial Surgery, PLLC
• Coppell Psychiatric Care Inc.

• Professional Counselor in Coppell, TX
• Providers in Coppell, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.