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General NPI Number Information
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NPI Number | 1932184389
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Entity Type | Organization
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Legal Business Name | FAMILY BEHAVIORAL HEALTH ASSOCIATES
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Dates
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Enumeration Date | 12/08/2005
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 2201 S W S YOUNG DR STE 117A1
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City | KILLEEN
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State | TX
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Zip | 76543-5338
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Country | US
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Telephone | 254-699-7222
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Fax | 512-556-2188
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Provider Business Mailing Address
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Address Line | 3000 ILLINOIS AVE
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City | KILLEEN
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State | TX
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Zip | 76543-5371
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Country | US
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Telephone | 254-699-7222
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Fax | 512-556-2188
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. WILLAIM WALTER COFIELD JR.
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Credential | PSY.D.
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Telephone | 254-699-7222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 24153
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License Number State | TX
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