Provider Demographics
NPI:1154470060
Name:CRABTREE, TERI MARTIN (MS, NCC, LPC-MHSP)
Entity Type:Individual
Prefix:MRS
First Name:TERI
Middle Name:MARTIN
Last Name:CRABTREE
Suffix:
Gender:F
Credentials:MS, NCC, LPC-MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2745 N MOUNT JULIET RD
Mailing Address - Street 2:
Mailing Address - City:MT JULIET
Mailing Address - State:TN
Mailing Address - Zip Code:37122-3041
Mailing Address - Country:US
Mailing Address - Phone:615-754-5853
Mailing Address - Fax:615-754-5826
Practice Address - Street 1:2745 N MOUNT JULIET RD
Practice Address - Street 2:
Practice Address - City:MT JULIET
Practice Address - State:TN
Practice Address - Zip Code:37122-3041
Practice Address - Country:US
Practice Address - Phone:615-754-5853
Practice Address - Fax:615-754-5826
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLPC 1518101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN352611000OtherMAGELLAN
TN4097436OtherBCBS
TN518484OtherVALUE OPTIONS