Provider Demographics
NPI:1033306089
Name:MEFFORD, TERESA MARIE (LPC)
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:MARIE
Last Name:MEFFORD
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14931 FEATHERCHASE DR
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23832-2513
Mailing Address - Country:US
Mailing Address - Phone:804-489-0149
Mailing Address - Fax:
Practice Address - Street 1:233 WINTON BLOUNT LOOP
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36117-3507
Practice Address - Country:US
Practice Address - Phone:334-239-9106
Practice Address - Fax:334-239-9104
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-03
Last Update Date:2018-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL0629101YP2500X
AL2763101YP2500X
VA0701003832101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional