Healthcare Provider Details

I. General information

NPI: 1831062629
Provider Name (Legal Business Name): CHUPIK BEHAVIORAL HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2025
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1023 CANYON CREEK DR STE 100
TEMPLE TX
76502-3278
US

IV. Provider business mailing address

PO BOX 35
TEMPLE TX
76503-0035
US

V. Phone/Fax

Practice location:
  • Phone: 254-624-6761
  • Fax:
Mailing address:
  • Phone: 254-624-6761
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: JEFFREY CHUPIK
Title or Position: OWNER/PROVIDER
Credential: LPC
Phone: 254-624-6761