Healthcare Provider Details

I. General information

NPI: 1427549542
Provider Name (Legal Business Name): RHONDA J. GALLOWAY LPC, LMFT-A, LCDC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2018
Last Update Date: 05/24/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1103 WEST STAN SCHLUETER LOOP BUILDING A, SUITE 100
KILLEEN TX
76549
US

IV. Provider business mailing address

1103 WEST STAN SCHLUETER LOOP BUILDING A, SUITE 100
KILLEEN TX
76549
US

V. Phone/Fax

Practice location:
  • Phone: 254-312-2002
  • Fax:
Mailing address:
  • Phone: 254-312-2002
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number202905
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number13782
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number75665
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: