Provider Demographics
NPI:1912061847
Name:BARTLETT, TERRI LEE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:TERRI
Middle Name:LEE
Last Name:BARTLETT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:TERRI
Other - Middle Name:LEE
Other - Last Name:SAYLES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:4131 S BRAESWOOD BLVD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77025-3306
Mailing Address - Country:US
Mailing Address - Phone:713-667-9336
Mailing Address - Fax:713-667-3619
Practice Address - Street 1:4131 S BRAESWOOD BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77025-3306
Practice Address - Country:US
Practice Address - Phone:713-667-9336
Practice Address - Fax:713-861-4021
Is Sole Proprietor?:No
Enumeration Date:2006-12-22
Last Update Date:2012-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX254751041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1734691-01Medicaid
TX1734691-01Medicaid