AUDREY ELLEN KTEILY (NPI# 1316085582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316085582 |
| Entity Type | Individual |
| Full Name | AUDREY ELLEN KTEILY |
| Credential | LPC-S |
| Practice Address |
702 S Denton Tap Rd Suite 140 Coppell TX 75019-4540 |
| Practice Telephone | 9725555555 |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2010-06-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
17316 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | LPC | 17316 | 01 |
| Street Address |
702 S DENTON TAP RD SUITE 140 |
| City | COPPELL |
| State | TX |
| Zip Code | 75019-4540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558714048 | Yolande Millhorn | Massage Therapist | 702 S Denton Tap Rd, Suite 110, Coppell, TX 75019-4540 | 2016-07-20 |
| 1346653748 | Coppell Family Therapy Pllc | Counselor | 702 S Denton Tap Rd, Suite 140, Coppell, TX 75019-4540 | 2014-06-04 |
| 1487992368 | Daniel James Dodge | Chiropractor | 702 S Denton Tap Rd, Suite 150, Coppell, TX 75019-4540 | 2013-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366065997 | Siai, Pllc | Pain Medicine | 149 E State Highway 121, Suite 105, Coppell, TX 75019 | 2020-05-18 |
| 1609498146 | Carie Medical Group (de), P.a. | Internal Medicine | 8951 Cypress Waters Blvd., Suite 160-1045, Dallas, TX 75019 | 2020-05-07 |
| 1154981983 | Coe Dentistry Pllc | Dentist | 137 Sh 121, Ste 110, Coppell, TX 75019 | 2019-06-14 |
| 1831655695 | Nicole Erhart | Physical Therapist | 3100 Olympus Blvd, Suite 500, Dallas, TX 75019 | 2019-02-18 |
| 1780140467 | Leah Faith Fifelski | Physical Therapist | 3100 Olympus Blvd. Suite 500, Dallas, TX 75019 | 2019-02-18 |
| 1780140988 | Living Euphoria, LLC | Community/Behavioral Health | 106 N Denton Tap Rd Ste 210 #151, Coppell, TX 75019 | 2019-02-13 |
| 1982176954 | Katie Cunningham | Physical Therapist | 3100 Olympus Blvd Ste 500, Coppell, TX 75019 | 2019-01-01 |
| 1659853000 | Shelley Kniss | Licensed Vocational Nurse | 1717 E Beltline Rd Apt 1323, Coppell, TX 75019 | 2018-09-02 |
| 1881197705 | Natasha Paulina Boylan | Speech-Language Pathologist | 370 W Highway 121, Ste. 105, Coppell, TX 75019 | 2018-03-16 |
| 1407354392 | Mahvash Roya Soltani | Nurse Practitioner | 1323 Barrington Dr., Coppell, TX 75019 | 2018-01-25 |
| Find all providers in zip 75019 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235788563 | Reynolds Counseling Services, Pllc | Counselor | 600 S Denton Tap Rd Ste 122, Coppell, TX 75019-4551 | 2019-09-09 |
| 1780231803 | Shanna Drury | Counselor | 270 N Denton Tap Rd Ste 160, Coppell, TX 75019-2133 | 2019-08-22 |
| 1366979882 | Andrea Miles | Counselor | 844 Woodmoor Dr, Coppell, TX 75019-5227 | 2017-05-15 |
| 1578098984 | Amy English | Counselor | 500 S Denton Tap Rd, Ste 101, Coppell, TX 75019-4003 | 2017-04-23 |
| 1013465525 | Megan Blanton | Counselor | 735 Plaza Blvd Ste 226, Coppell, TX 75019 | 2016-09-13 |
| 1134409808 | Josh Cordonnier | Counselor | 600 S Denton Tap Rd Ste 123, Coppell, TX 75019-4551 | 2011-08-25 |
| 1205968211 | Kimberly Hatley | Counselor | 413 West Bethel Rd., Suite 100, Coppell, TX 75019 | 2007-03-12 |
| 1902957996 | Janna Leigh Horner | Counselor | 413 W. Bethel Road, Suite 100, Coppell, TX 75019 | 2007-01-16 |
| 1225103377 | Diana Frances Morin | Counselor | 167 Georgian Dr, Coppell, TX 75019-6279 | 2006-11-22 |
| 1538231477 | Annell Viola | Counselor | 413 W. Bethel Rd., Suite 100, Coppell, TX 75019 | 2006-11-15 |
| Find all providers in COPPELL | ||||
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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.