Provider Demographics
NPI:1699351650
Name:WARVEL, TERESA (MS, LPC, NCC)
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:
Last Name:WARVEL
Suffix:
Gender:F
Credentials:MS, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3809 MORTEZA DR
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78414-4295
Mailing Address - Country:US
Mailing Address - Phone:361-271-0757
Mailing Address - Fax:
Practice Address - Street 1:3809 MORTEZA DR
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78414-4295
Practice Address - Country:US
Practice Address - Phone:832-276-9397
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-21
Last Update Date:2022-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX87536101YM0800X
VA0701010356101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health