Provider Demographics
NPI:1093489122
Name:TERESA TRIBETT, LPC PLLC
Entity Type:Organization
Organization Name:TERESA TRIBETT, LPC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPC
Authorized Official - Prefix:
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:IRENE
Authorized Official - Last Name:TRIBETT
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:210-535-5650
Mailing Address - Street 1:8210 BRIARGATE DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78230-5006
Mailing Address - Country:US
Mailing Address - Phone:210-535-5650
Mailing Address - Fax:
Practice Address - Street 1:8210 BRIARGATE DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78230-5006
Practice Address - Country:US
Practice Address - Phone:210-535-5650
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-03
Last Update Date:2021-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)