| Trace Of Times Therapy Initiative, Pllc | |
|
808 John Paul Jones Dr Temple TX 76504-2264 | |
| (254) 340-4228 | |
| Not Available |
| Full Name | Trace Of Times Therapy Initiative, Pllc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 808 John Paul Jones Dr, Temple, Texas |
| Authorized Official Name and Position | Tammy Nicholes (LMFT - ASSOCIATE) |
| Authorized Official Contact | 2543404228 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trace Of Times Therapy Initiative, Pllc Po Box 144 Temple TX 76503-0144 Ph: (254) 340-4228 | Trace Of Times Therapy Initiative, Pllc 808 John Paul Jones Dr Temple TX 76504-2264 Ph: (254) 340-4228 |
| NPI Number | 1467368100 |
|---|---|
| Provider Enumeration Date | 08/21/2026 |
| Last Update Date | 08/21/2026 |
| Certification Date | 08/21/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467368100 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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