Provider Demographics
NPI:1417483850
Name:CASH, TERESA
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:
Last Name:CASH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 EUCLID AVE
Mailing Address - Street 2:APT S-2
Mailing Address - City:CHICKAMAUGA
Mailing Address - State:GA
Mailing Address - Zip Code:30707-1565
Mailing Address - Country:US
Mailing Address - Phone:423-991-0034
Mailing Address - Fax:
Practice Address - Street 1:16 EUCLID AVE
Practice Address - Street 2:APT S-2
Practice Address - City:CHICKAMAUGA
Practice Address - State:GA
Practice Address - Zip Code:30707-1565
Practice Address - Country:US
Practice Address - Phone:423-991-0034
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-04
Last Update Date:2017-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health