Provider Demographics
NPI:1174838981
Name:GOSSETT, TERRI DENISE (LPC)
Entity Type:Individual
Prefix:
First Name:TERRI
Middle Name:DENISE
Last Name:GOSSETT
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:TERRI
Other - Middle Name:DENISE
Other - Last Name:YELLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:3816 S. CLEAR CREEK RD.
Mailing Address - Street 2:BUILDING C, STE. 301
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76549-4400
Mailing Address - Country:US
Mailing Address - Phone:844-824-8775
Mailing Address - Fax:281-648-2200
Practice Address - Street 1:3816 CLEAR CREEK RD, BUILDING C, STE. 301
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76549-4400
Practice Address - Country:US
Practice Address - Phone:844-824-8775
Practice Address - Fax:281-648-2200
Is Sole Proprietor?:No
Enumeration Date:2010-08-17
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX63217101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional