Provider Demographics
NPI:1336934553
Name:ENTLER, TERI JEAN (MA LMHC)
Entity type:Individual
Prefix:
First Name:TERI
Middle Name:JEAN
Last Name:ENTLER
Suffix:
Gender:
Credentials:MA LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16300 MILL CREEK BLVD STE 105
Mailing Address - Street 2:
Mailing Address - City:MILL CREEK
Mailing Address - State:WA
Mailing Address - Zip Code:98012-1259
Mailing Address - Country:US
Mailing Address - Phone:425-870-6500
Mailing Address - Fax:
Practice Address - Street 1:2225 ASHLEY CROSSING DR STE 202
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29414-5854
Practice Address - Country:US
Practice Address - Phone:425-870-6500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-09
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC10708101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health