| Doctor Name: | MRS. TERESA LYNN OGLESBEE |
| NPI Number: | 1184782385 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | LPC004615 |
| Business Practice Address: | 812 Towne Park Dr Unit 400 Rincon, GA - 313269362 |
| Business Phone Number: | 9128261145 |
| Business Fax Number: | 9128261245 |
| Mailing Address: | Po Box 667, RINCON |
| State: | GA |
| Postal Code: | 313260667 |
| Phone Number: | 9128261145 |
| Fax Number: | 9128261245 |
| NPI Enumeration Date: | 12/04/2006 |
| NPI Last Update Date: | 06/07/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | LPC004615 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |