Provider Demographics
NPI:1457608630
Name:VAZQUEZ, TERESA GS (LMSW)
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:GS
Last Name:VAZQUEZ
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1525 US HIGHWAY 380 STE 500
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75033-0176
Mailing Address - Country:US
Mailing Address - Phone:214-612-7475
Mailing Address - Fax:
Practice Address - Street 1:1525 US HIGHWAY 380 STE 500
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75033-0176
Practice Address - Country:US
Practice Address - Phone:214-612-7475
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-07
Last Update Date:2022-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health