MEDICARE: TERI HENSLEY MARROW M.S., LPC

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	101Y00000X	Counselor	71530	TX

General Provider Information

NPI Number	:	1366043432
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TERI HENSLEY MARROW M.S., LPC

Provider Business Mailing Address
First Line	:	4922 CEDAR SPRING DR
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-4088
Country	:	US
Telephone Number	:	281-686-6985
Fax Number	:

Provider Business Practice Location Address
First Line	:	4922 CEDAR SPRING DR
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-4088
Country	:	US
Telephone Number	:	281-686-6985
Fax Number	:

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

Provider Enumeration Date	:	11/05/2020
Last Update Date	:	11/05/2020

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