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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