Doctor Name: | TERI MILLS-MANUEL |
NPI Number: | 1033328877 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED, NCC, LPCI |
License Number: | 62060 |
Business Practice Address: | 1600 N Redbud Blvd Suite 403 Mckinney, TX - 750693227 |
Business Phone Number: | 2145854859 |
Business Fax Number: | 2145854879 |
Mailing Address: | 807 Creekline Way, MCKINNEY |
State: | TX |
Postal Code: | 750705583 |
Phone Number: | 9725299032 |
Fax Number: | |
NPI Enumeration Date: | 05/21/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 62060 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |