Healthcare Provider Details

I. General information

NPI: 1285349373
Provider Name (Legal Business Name): THERESA FOY GRZEBINSKI LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/23/2023
Last Update Date: 10/29/2025
Certification Date: 10/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5300 TOWN AND COUNTRY BLVD STE 240
FRISCO TX
75034-1008
US

IV. Provider business mailing address

5300 TOWN AND COUNTRY BLVD STE 240
FRISCO TX
75034-1008
US

V. Phone/Fax

Practice location:
  • Phone: 972-733-6523
  • Fax:
Mailing address:
  • Phone: 972-733-6523
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number105943
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: