Provider Demographics
NPI:1659922573
Name:STRIBLIN, TENEKA LAPORIE (LCSW-A)
Entity Type:Individual
Prefix:
First Name:TENEKA
Middle Name:LAPORIE
Last Name:STRIBLIN
Suffix:
Gender:F
Credentials:LCSW-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1448
Mailing Address - Street 2:
Mailing Address - City:YANCEYVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27379-1448
Mailing Address - Country:US
Mailing Address - Phone:336-694-1181
Mailing Address - Fax:336-694-4209
Practice Address - Street 1:439 US HIGHWAY 158 W
Practice Address - Street 2:
Practice Address - City:YANCEYVILLE
Practice Address - State:NC
Practice Address - Zip Code:27379-8304
Practice Address - Country:US
Practice Address - Phone:336-694-1181
Practice Address - Fax:336-694-4209
Is Sole Proprietor?:No
Enumeration Date:2019-09-23
Last Update Date:2019-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0141081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical