Hopson, Teresia
Hopson, Teresia is an sole proprietor health care provider with primary practice located at 323 W 4Th St , Mishawaka IN 46544-1913. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Hopson, Teresia can be contacted via phone (574) 256-7006.Contact Information
Primary practice address
323 W 4Th St
Mishawaka IN 46544-1913
Phone: (574) 256-7006
Fax: (574) 256-2266
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 34004883A | Indiana |
Profile Details
| NPI number | 1467441303 |
|---|---|
| LBN Legal business name | Hopson, Teresia |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 13th, 2005 |
| Last updated | Jul 22nd, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467441303 | NPPES |
| Indiana | Other | 000000320433 | ANTHEM |
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