Provider Demographics
NPI:1346743630
Name:RIGONI-QUINTO, TERESA (LMHC)
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:
Last Name:RIGONI-QUINTO
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2852 PALMARITA RD
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33406-5141
Mailing Address - Country:US
Mailing Address - Phone:561-313-4361
Mailing Address - Fax:
Practice Address - Street 1:2852 PALMARITA RD
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33406-5141
Practice Address - Country:US
Practice Address - Phone:561-313-4361
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-13
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL18751103K00000X
101YM0800X
FLMH18751101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst