Provider Demographics
NPI:1043503741
Name:HESS, TERESA JOY (LMHC)
Entity Type:Individual
Prefix:MS
First Name:TERESA
Middle Name:JOY
Last Name:HESS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9730 HOLLOWBROOK DR
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32514-7113
Mailing Address - Country:US
Mailing Address - Phone:850-748-5015
Mailing Address - Fax:
Practice Address - Street 1:9730 HOLLOWBROOK DR
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32514-7113
Practice Address - Country:US
Practice Address - Phone:850-748-5015
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-27
Last Update Date:2011-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 10682101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health