Provider Demographics
NPI:1851900641
Name:TEAMER COUNSELING, LCSW, P.C.
Entity Type:Organization
Organization Name:TEAMER COUNSELING, LCSW, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:DEMICHELE
Authorized Official - Last Name:TEAMER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-R
Authorized Official - Phone:845-206-4046
Mailing Address - Street 1:24 AUSTIN CT
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12603-3628
Mailing Address - Country:US
Mailing Address - Phone:845-206-4046
Mailing Address - Fax:845-206-4046
Practice Address - Street 1:24 AUSTIN CT
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12603-3628
Practice Address - Country:US
Practice Address - Phone:845-206-4046
Practice Address - Fax:845-206-4046
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-28
Last Update Date:2020-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty