Provider Demographics
NPI:1215236088
Name:PASLEY, TERESA ANGELA (PHD,, R LPCI, NCC,)
Entity type:Individual
Prefix:DR
First Name:TERESA
Middle Name:ANGELA
Last Name:PASLEY
Suffix:
Gender:F
Credentials:PHD,, R LPCI, NCC,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 25571
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29224-5571
Mailing Address - Country:US
Mailing Address - Phone:803-381-2523
Mailing Address - Fax:
Practice Address - Street 1:4208 RHAME RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29229-8728
Practice Address - Country:US
Practice Address - Phone:803-381-2523
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-19
Last Update Date:2011-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC5264101Y00000X
SC63557163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No163W00000XNursing Service ProvidersRegistered Nurse