Palmer, M. Theresa

Palmer, M. Theresa is an individual health care provider with primary practice located at 1001 Reynolda Rd , Winston Salem NC 27104-3245. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Palmer, M. Theresa can be contacted via phone (336) 721-7619.

Contact Information

Primary practice address
1001 Reynolda Rd Winston Salem NC 27104-3245
Phone: (336) 721-7619
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C003718 North Carolina
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 868 North Carolina

Profile Details

NPI number 1205956133
LBN Legal business name Palmer, M. Theresa
Credentials LCSW, LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2007
Last updated Jul 8th, 2007 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1205956133 NPPES
North Carolina MEDICAID 6002584

Popular Providers