Organization
CENTRAL COUNTIES CENTER FOR MHMR SERVICES
Active
Organization
CENTRAL COUNTIES CENTER FOR MHMR SERVICES
Active
Other names
CHILDTEAM ECI
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNE COSPER (BILLING MGR)
(254) 773-6787
Entity
Organization
Contact information
Practice address
304 S 22ND ST, TEMPLE, TX 76501-4726
(254) 773-6787
(254) 770-0516
Mailing address
2170 N MAIN ST, SUITE D, BELTON, TX 76513-1919
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
171M00000X
Case Manager/Care Coordinator
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017408801
—
TX
Enumeration date
04/26/2007
Last updated
09/23/2025
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