Doctor Name: | TERI PAPPAS |
NPI Number: | 1164879623 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | MH12263 |
Business Practice Address: | 804 3rd St Suite D Neptune Beach, FL - 322665040 |
Business Phone Number: | 9047463320 |
Business Fax Number: | |
Mailing Address: | 804 3rd St, Suite D NEPTUNE BEACH |
State: | FL |
Postal Code: | 322665040 |
Phone Number: | 9047463320 |
Fax Number: | |
NPI Enumeration Date: | 05/15/2016 |
NPI Last Update Date: | 05/15/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MH12263 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |