MR. STEPHEN BORIS FESUK JR. (NPI# 1073765004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073765004 |
| Entity Type | Individual |
| Full Name | MR. STEPHEN BORIS FESUK JR. |
| Credential | LMFT |
| Practice Address |
100 E Avenue A Killeen TX 76541-4763 |
| Mailing Address |
304 S 22nd St Temple TX 76501-4726 |
| Practice Telephone | 2545264146 |
| Practice Fax Number | 2545269351 |
| Mailing Telephone | 2545264146 |
| Mailing Fax Number | 2545269351 |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2008-10-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 201272 | TX | Behavioral Health & Social Service Providers |
| Street Address |
100 E AVENUE A |
| City | KILLEEN |
| State | TX |
| Zip Code | 76541-4763 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437110178 | Donna Mae Betty Twait | Counselor | 100 E Avenue A, Killeen, TX 76541-4763 | 2006-03-31 |
| 1700423969 | Michelle Moore | Marriage & Family Therapist | 100 E Avenue A, Killeen, TX 76541-4763 | 2019-12-06 |
| 1053814889 | Sylveria Sanchez | Counselor | 100 E Avenue A, Killeen, TX 76541-4763 | 2018-03-18 |
| 1295260693 | Michele Lynn Simonich | Counselor | 100 E Avenue A, Killeen, TX 76541-4763 | 2017-04-24 |
| 1407046378 | Leh Tratnik | Psychiatry & Neurology | 100 E Avenue A, Killeen, TX 76541-4763 | 2007-07-27 |
| 1073571196 | Christie Yulunda Douet | Social Worker | 100 E Avenue A, Killeen, TX 76541-4763 | 2006-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982240297 | Rohini Singh 2 Dmd Pllc | Dentist | 2520 Trimmier Rd Ste 105, Killeen, TX 76541 | 2019-11-21 |
| 1942723218 | Madeline Y Chung | Acupuncturist | 201 N Gray St #a, Killeen, TX 76541 | 2017-07-19 |
| 1447709266 | Henry Charles Lucksinger Jr. | Dentist | 811 Oakhill Drive, Killeen, TX 76541 | 2016-09-22 |
| 1285039289 | Greater Killeen Free Clinic | Clinic/Center | 718 N 2nd Str, Suite A, Killeen, TX 76541 | 2014-11-03 |
| 1508158247 | Michelle D Tucker | Social Worker | 508 North 8th Street, Killeen, TX 76541 | 2011-05-13 |
| 1952618258 | Mbs Wellness Chiropractic Center | Clinic/Center | 300 West Central Texas Expressway, Killeen, TX 76541 | 2010-09-08 |
| 1134369804 | Adrianne B Scanlon | Occupational Therapist | 605 Donne, Killeen, TX 76541 | 2009-02-20 |
| 1306962337 | Karen Venhuizen | Speech-Language Pathologist | 882 Fort Hood Road, Suite 1050, Killeen, TX 76541 | 2007-03-21 |
| 1184759714 | Eleanor L. Melville | Social Worker | 1805 Florence Road, Suite 10, Killeen, TX 76541 | 2007-02-23 |
| 1962545491 | Matthew Michael Williams | Counselor | 1711 E Central Texas Expy Ste 300i, Killeen, TX 76541 | 2007-02-15 |
| Find all providers in zip 76541 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831746841 | Cherylann Brittian | Marriage & Family Therapist | 4400-2 E Central Texas Expy Ste C, Killeen, TX 76543-7300 | 2019-08-23 |
| 1750935391 | Leo Mora Therapy Services Pllc | Marriage & Family Therapist | 400 W. Jasper Dr. Ste. 100b, Killeen, TX 76542 | 2019-08-01 |
| 1386101723 | Cherlyn Lane | Marriage & Family Therapist | 3101 Courtney Ln Ste B, Killeen, TX 76542-8519 | 2019-02-21 |
| 1104365972 | Counseling Associates of Central Texas | Marriage & Family Therapist | 1711 E Central Texas Expy Ste 100a, Killeen, TX 76541-9145 | 2017-02-14 |
| 1548615826 | Inbesi Counseling & Life Care | Marriage & Family Therapist | 4400-2 E Central Texas Expy, Suite C, Killeen, TX 76543-7373 | 2016-04-25 |
| 1750745055 | Leo Mora Jr. | Marriage & Family Therapist | 400 W Jasper Dr Ste 100b, Killeen, TX 76542-1322 | 2016-04-12 |
| 1902226400 | Zandra Brown | Marriage & Family Therapist | 4406 Beach Ball Dr, Killeen, TX 76549-4320 | 2014-04-23 |
| 1871621060 | Clinton Thomas Anderson | Marriage & Family Therapist | 1519 Florence Rd Ste 5, Killeen, TX 76541-7904 | 2007-03-01 |
| 1700423969 | Michelle Moore | Marriage & Family Therapist | 100 E Avenue A, Killeen, TX 76541-4763 | 2019-12-06 |
| 1962867317 | Ashley Brink | Marriage & Family Therapist | 14138 Hwy 195, Killeen, TX 76542-4850 | 2015-12-29 |
| Find all providers in KILLEEN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.