Organization
COPPELL FAMILY THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AUDREY ELLEN KTEILY PHD LPC-S (OWNER)
(972) 304-0700
Entity
Organization
Contact information
Practice address
270 N DENTON TAP RD STE 160, COPPELL, TX 75019-2133
(972) 304-0700
(972) 692-5844
Mailing address
270 N DENTON TAP RD STE 160, COPPELL, TX 75019-2133
(972) 304-0700
(972) 692-5844
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
17316
TX
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/06/2018
Last updated
09/23/2021
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