Healthcare Provider Details

I. General information

NPI: 1144147265
Provider Name (Legal Business Name): TERESA ANNETTE TURNER- STREET
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1510 N 28TH ST STE 101
RICHMOND VA
23223-5311
US

IV. Provider business mailing address

PO BOX 291943
NASHVILLE TN
37229-1943
US

V. Phone/Fax

Practice location:
  • Phone: 804-521-0050
  • Fax: 615-237-1434
Mailing address:
  • Phone: 833-952-0829
  • Fax: 615-237-1434

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number0710103670
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: