Provider Demographics
NPI:1407350978
Name:ORSINGER, THERESA HENKEL (MA, LPA)
Entity Type:Individual
Prefix:
First Name:THERESA
Middle Name:HENKEL
Last Name:ORSINGER
Suffix:
Gender:F
Credentials:MA, LPA
Other - Prefix:
Other - First Name:THERESA
Other - Middle Name:ODEN
Other - Last Name:HENKEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LPA
Mailing Address - Street 1:4040 BROADWAY
Mailing Address - Street 2:SUITE 518
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78209
Mailing Address - Country:US
Mailing Address - Phone:210-858-1900
Mailing Address - Fax:210-745-4525
Practice Address - Street 1:1314 E. SONTERRA BLVD
Practice Address - Street 2:STE. 2208
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258
Practice Address - Country:US
Practice Address - Phone:210-858-1900
Practice Address - Fax:210-745-4525
Is Sole Proprietor?:No
Enumeration Date:2018-03-20
Last Update Date:2018-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX30688101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional