Provider Demographics
NPI:1376416479
Name:ANDERSON, TERESA M
Entity type:Individual
Prefix:
First Name:TERESA
Middle Name:M
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:QUALITY RECRUIT
Other - Middle Name:
Other - Last Name:CONSULTANTS, LLC
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:860 SEABREEZE RD
Mailing Address - Street 2:
Mailing Address - City:FREDERICA
Mailing Address - State:DE
Mailing Address - Zip Code:19946-2300
Mailing Address - Country:US
Mailing Address - Phone:336-268-6631
Mailing Address - Fax:
Practice Address - Street 1:860 SEABREEZE RD
Practice Address - Street 2:
Practice Address - City:FREDERICA
Practice Address - State:DE
Practice Address - Zip Code:19946
Practice Address - Country:US
Practice Address - Phone:336-268-6631
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-25
Last Update Date:2025-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
No251S00000XAgenciesCommunity/Behavioral Health