Provider Demographics
NPI:1114230075
Name:SCHLINTZ, TERESA M (EDD, LMHC, LPC, CSAC)
Entity Type:Individual
Prefix:DR
First Name:TERESA
Middle Name:M
Last Name:SCHLINTZ
Suffix:
Gender:F
Credentials:EDD, LMHC, LPC, CSAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14548 HAGAR RD
Mailing Address - Street 2:
Mailing Address - City:BANGOR
Mailing Address - State:WI
Mailing Address - Zip Code:54614-7200
Mailing Address - Country:US
Mailing Address - Phone:608-487-1894
Mailing Address - Fax:
Practice Address - Street 1:14548 HAGAR RD
Practice Address - Street 2:
Practice Address - City:BANGOR
Practice Address - State:WI
Practice Address - Zip Code:54614-7200
Practice Address - Country:US
Practice Address - Phone:608-487-1894
Practice Address - Fax:608-413-6198
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-21
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH61165123101YM0800X
WI6160-125101YM0800X
WI15452101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)