Provider Demographics
NPI:1891332854
Name:URQUIAGA, TERESA LYN (MS, LPC-S)
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:LYN
Last Name:URQUIAGA
Suffix:
Gender:F
Credentials:MS, LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15007 PEARHAVEN DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77062-2910
Mailing Address - Country:US
Mailing Address - Phone:281-935-2649
Mailing Address - Fax:
Practice Address - Street 1:1110 NASA PKWY STE 470
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058-3351
Practice Address - Country:US
Practice Address - Phone:713-706-8300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-09
Last Update Date:2019-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional