Provider Demographics
NPI:1790493161
Name:TEDDER'S COUNSELING CORNER, PLLC
Entity Type:Organization
Organization Name:TEDDER'S COUNSELING CORNER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FELICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:TEDDER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:832-477-3113
Mailing Address - Street 1:3880 GREENHOUSE RD STE 411
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-3486
Mailing Address - Country:US
Mailing Address - Phone:832-477-3113
Mailing Address - Fax:832-202-0924
Practice Address - Street 1:3880 GREENHOUSE RD STE 411
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-3486
Practice Address - Country:US
Practice Address - Phone:832-477-3113
Practice Address - Fax:832-202-0924
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-14
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty