Provider Demographics
NPI:1326794835
Name:TEEMS, LISA (CADC-R)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:
Last Name:TEEMS
Suffix:
Gender:F
Credentials:CADC-R
Other - Prefix:
Other - First Name:LISA
Other - Middle Name:
Other - Last Name:BONDS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:326 N SPRING ST
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27101-2722
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:153 JEFFERSON CHURCH RD STE F
Practice Address - Street 2:
Practice Address - City:KING
Practice Address - State:NC
Practice Address - Zip Code:27021-8605
Practice Address - Country:US
Practice Address - Phone:336-631-1948
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-23
Last Update Date:2022-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)