Provider Demographics
NPI:1831062629
Name:CHUPIK BEHAVIORAL HEALTH PLLC
Entity type:Organization
Organization Name:CHUPIK BEHAVIORAL HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, CEO
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:CHUPIK
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:254-624-6761
Mailing Address - Street 1:2425 ROYAL RIDGE LOOP
Mailing Address - Street 2:
Mailing Address - City:SALADO
Mailing Address - State:TX
Mailing Address - Zip Code:76571-6727
Mailing Address - Country:US
Mailing Address - Phone:254-624-6761
Mailing Address - Fax:
Practice Address - Street 1:2425 ROYAL RIDGE LOOP
Practice Address - Street 2:
Practice Address - City:SALADO
Practice Address - State:TX
Practice Address - Zip Code:76571-6727
Practice Address - Country:US
Practice Address - Phone:254-624-6761
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-26
Last Update Date:2025-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty