Provider Demographics
NPI:1093365751
Name:TEAMER, LATASHA (MS, LPC, LMFT)
Entity Type:Individual
Prefix:MRS
First Name:LATASHA
Middle Name:
Last Name:TEAMER
Suffix:
Gender:F
Credentials:MS, LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20403 ENCINO LEDGE
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78259-0801
Mailing Address - Country:US
Mailing Address - Phone:210-802-8937
Mailing Address - Fax:
Practice Address - Street 1:16170 JONES MALTSBERGER RD STE 100
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78247-3203
Practice Address - Country:US
Practice Address - Phone:210-802-8937
Practice Address - Fax:830-307-5577
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-16
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX203554106H00000X
TX77681101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist