Provider Demographics
NPI:1992228316
Name:WARFIELD, TERA BROWNLEE (LPC/MHSP)
Entity type:Individual
Prefix:
First Name:TERA
Middle Name:BROWNLEE
Last Name:WARFIELD
Suffix:
Gender:F
Credentials:LPC/MHSP
Other - Prefix:
Other - First Name:TERA
Other - Middle Name:WESLEY
Other - Last Name:BROWNLEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3119 BELLE GROVE RD
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38115-2753
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3119 BELLE GROVE RD
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38115-2753
Practice Address - Country:US
Practice Address - Phone:901-647-6160
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-18
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS2874101YP2500X
TN3890101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional