Provider Demographics
NPI:1386953776
Name:LORENZ, TERESA M (MHA 111)
Entity type:Individual
Prefix:
First Name:TERESA
Middle Name:M
Last Name:LORENZ
Suffix:
Gender:F
Credentials:MHA 111
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3077 FITE CIR STE 6
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95827-1815
Mailing Address - Country:US
Mailing Address - Phone:916-854-1801
Mailing Address - Fax:
Practice Address - Street 1:8421 AUBURN BLVD STE 162
Practice Address - Street 2:
Practice Address - City:CITRUS HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:95610-0359
Practice Address - Country:US
Practice Address - Phone:916-441-3819
Practice Address - Fax:916-441-6377
Is Sole Proprietor?:No
Enumeration Date:2010-10-01
Last Update Date:2024-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health