Audrey E Kteily PHD PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

AUDREY E KTEILY PHD PLLC

Practice address

684 S Denton Tap Rd # 110
Coppell, TX 75019-4542

Phone

(972) 304-0700

Fax

(972) 692-5844

NPI assigned

Oct 27, 2023

Last updated

Oct 27, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Audrey KteilyNPI 1316085582

Title

Owner

Phone

(972) 304-0700

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, and the practitioner matching its NPPES authorized official.

• Audrey Ellen Kteily, LPC-S

  • Professional Counselor
  • Coppell, TX
  • NPI 1316085582
  NPD Authorized official

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

{
    "created_epoch": "1698364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698364800000",
    "number": "1902678360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "684 S DENTON TAP RD # 110",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750194542",
            "telephone_number": "972-304-0700",
            "fax_number": "972-692-5844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "684 S DENTON TAP RD # 110",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750194542",
            "telephone_number": "972-304-0700",
            "fax_number": "972-692-5844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDREY E KTEILY PHD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-27",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A",
        "authorized_official_last_name": "KTEILY",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-304-0700"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hajar Ashmawey
• Assist Pros, LLC
• Athletico LTD (Athletico Physical Therapy)
• Atma Associates, Inc (ATMA Assisted Living of Coppell)
• Atma II Assistant Living Facility
• Mary M. Augustine, M.S., CCC-SLP
• Ashley Velasco Avila
• Twyla Michelle Axelson
• Joseph O Ayitey-Adjin Jr., DMD
• Aronette Azu, NP

• Mental Health Counselor in Coppell, TX
• Providers in Coppell, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; 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.