Organization
KATIES WAY KILLEEN PLLC
Active
Other names
KATIES WAY
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY JOHNSON DIRECTOR OF BILLING (DIRECTOR OF CREDENDIALING)
(785) 320-6616
Entity
Organization
Contact information
Practice address
2025 MEMORY LN STE 500, HARKER HEIGHTS, TX 76548-7489
(806) 810-0585
(806) 517-2667
Mailing address
2025 MEMORY LN STE 500, HARKER HEIGHTS, TX 76548-7489
(806) 810-0585
(806) 517-2667
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103G00000X
Clinical Neuropsychologist
—
—
103T00000X
Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TP0016X
Prescribing (Medical) Psychologist
—
—
103TP0814X
Psychoanalysis Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
202D00000X
Integrative Medicine Physician
—
—
207QA0505X
Adult Medicine Physician
—
—
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
364SF0001X
Family Health Clinical Nurse Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
T6078
LICENSE
TX
Enumeration date
05/18/2022
Last updated
11/21/2024
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