Provider Demographics
NPI:1811569569
Name:SMITH, TERESA (MS)
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:
Last Name:SMITH
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:TERESA
Other - Middle Name:
Other - Last Name:SMITH HILL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS
Mailing Address - Street 1:2165 SPICER CV STE 5
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38134-5623
Mailing Address - Country:US
Mailing Address - Phone:901-372-7878
Mailing Address - Fax:901-373-9298
Practice Address - Street 1:2165 SPICER CV STE 5
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38134-5623
Practice Address - Country:US
Practice Address - Phone:901-372-7878
Practice Address - Fax:901-373-9298
Is Sole Proprietor?:No
Enumeration Date:2021-07-13
Last Update Date:2021-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)