Provider Demographics
NPI:1154655579
Name:HOWARD, TERESA WORTHY (CD (DONA), CLD, CLE)
Entity Type:Individual
Prefix:MRS
First Name:TERESA
Middle Name:WORTHY
Last Name:HOWARD
Suffix:
Gender:F
Credentials:CD (DONA), CLD, CLE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2100 RIVERSIDE PKWY
Mailing Address - Street 2:SUITE 119B
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30043-5927
Mailing Address - Country:US
Mailing Address - Phone:770-241-2078
Mailing Address - Fax:770-682-1838
Practice Address - Street 1:2100 RIVERSIDE PKWY
Practice Address - Street 2:SUITE 119B
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30043-5927
Practice Address - Country:US
Practice Address - Phone:770-241-2078
Practice Address - Fax:770-682-1838
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-01
Last Update Date:2009-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula