MEDICARE: TERESA WULF-HELLER LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	0904002353	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205151073
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TERESA WULF-HELLER LCSW

Provider Business Mailing Address
First Line	:	5012 SELWOOD RD
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23234-4246
Country	:	US
Telephone Number	:	804-275-6161
Fax Number	:

Provider Business Practice Location Address
First Line	:	5012 SELWOOD RD
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23234-4246
Country	:	US
Telephone Number	:	804-275-6161
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/05/2010
Last Update Date	:	04/05/2010

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