Steele, Theresa Tucker

Steele, Theresa Tucker is an individual health care provider with primary practice located at 1061 Harmon Ave, Ste. 1D03 Winn Army Community Hospital, Fort Stewart GA 31314-5674. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Steele, Theresa Tucker can be contacted via phone (912) 767-7301.

Contact Information

Primary practice address
1061 Harmon Ave, Ste. 1D03 Winn Army Community Hospital Fort Stewart GA 31314-5674
Phone: (912) 767-7301
Fax: (912) 767-7303
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2798 North Carolina
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2798 North Carolina

Profile Details

NPI number 1144208745
LBN Legal business name Steele, Theresa Tucker
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2006
Last updated Sep 16th, 2010 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144208745 NPPES
North Carolina Other 0454U BCBS PRIVATE PRACTICE
North Carolina Other D6944 BCBS PRIVATE PRACTICE
North Carolina Other 046RU BCBS PRIVATE PRACTICE
North Carolina MEDICAID 6000461 BCBS PRIVATE PRACTICE
North Carolina MEDICAID 6000699 BCBS PRIVATE PRACTICE

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