Provider Demographics
NPI:1740831411
Name:EPPINGER, TESHIA (LCSW)
Entity type:Individual
Prefix:
First Name:TESHIA
Middle Name:
Last Name:EPPINGER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MISS
Other - First Name:TESHIA
Other - Middle Name:
Other - Last Name:STEVENSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:2114 MONARCH HOLLOW LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-7079
Mailing Address - Country:US
Mailing Address - Phone:832-589-3336
Mailing Address - Fax:
Practice Address - Street 1:7676 HILLMONT ST STE 320
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77040-6471
Practice Address - Country:US
Practice Address - Phone:832-865-4837
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-24
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX60794104100000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker