# CENTRAL BEHAVIORAL CLINIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CENTRAL BEHAVIORAL CLINIC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013691351
- **Authorized official:** FATIMAH THIAM (RN)
- **Authorized official phone:** (254) 803-0408

## Contact information

- **Practice address:** 2919 MARKET LOOP, TEMPLE, TX 76502-1856
- **Practice address phone:** (254) 803-0408
- **Mailing address:** 1226 LAKEWAY CROSSING DR, TEMPLE, TX 76502-6146
- **Mailing address phone:** (254) 803-0408

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 06/14/2023
- **Last updated:** 06/14/2023