Healthcare Provider Details

I. General information

NPI: 1356222848
Provider Name (Legal Business Name): TERESA WHITE COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2025
Last Update Date: 02/05/2026
Certification Date: 02/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2728 ASBURY RD
DUBUQUE IA
52001-2971
US

IV. Provider business mailing address

316 SOUTH ST
GALENA IL
61036-2524
US

V. Phone/Fax

Practice location:
  • Phone: 815-291-1841
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: TERESA A WHITE
Title or Position: THERAPIST
Credential:
Phone: 815-291-1841