Provider Demographics
NPI:1366043432
Name:MARROW, TERI HENSLEY (MS, LPC)
Entity Type:Individual
Prefix:
First Name:TERI
Middle Name:HENSLEY
Last Name:MARROW
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4922 CEDAR SPRING DR
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-4088
Mailing Address - Country:US
Mailing Address - Phone:281-686-6985
Mailing Address - Fax:
Practice Address - Street 1:4922 CEDAR SPRING DR
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-4088
Practice Address - Country:US
Practice Address - Phone:281-686-6985
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-05
Last Update Date:2020-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX71530101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor