Organization
KATIES WAY KILLEEN PLLC
Active
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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