Terrell, Teresa

Terrell, Teresa is an individual health care provider with primary practice located at 120 W 7Th St Suite 104, Bloomington IN 47404-3834. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Terrell, Teresa can be contacted via phone (812) 339-1551.

Contact Information

Primary practice address
120 W 7Th St Suite 104 Bloomington IN 47404-3834
Phone: (812) 339-1551
Fax: (812) 339-1551
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 34001873 Indiana
Behavioral Health & Social Service Providers / Clinical 1041C0700X 34001873 Indiana

Profile Details

NPI number 1609847417
LBN Legal business name Terrell, Teresa
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated May 20th, 2008 - about 18 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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