Healthcare Provider Details

I. General information

NPI: 1508538141
Provider Name (Legal Business Name): TERESA GARRISON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2021
Last Update Date: 05/21/2025
Certification Date: 05/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 OLD ROUTE 6
CARMEL NY
10512-2107
US

IV. Provider business mailing address

7 SPRING HILL CT
WAPPINGERS FL NY
12590-6215
US

V. Phone/Fax

Practice location:
  • Phone: 845-225-5202
  • Fax: 845-225-0700
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number25770
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: