MEDICARE: MS. THERESA LYNN WHEELER LPC/S, LAC/S, MA, CS

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	5271	SC
2	101YP2500X	Professional Counselor	5271	SC
3	101YA0400X	Addiction (Substance Use Disorder) Counselor	187	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3	OTHER	SC	LACS
2	187	OTHER	SC	LAC
3	19111253	OTHER	SC	CLINICAL SUPERVISOR
4	5271	OTHER	SC	LPC
5	6398	OTHER	SC	LPCS

General Provider Information

NPI Number	:	1649513532
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. THERESA LYNN WHEELER LPC/S, LAC/S, MA, CS

Provider Business Mailing Address
First Line	:	22 ARBOLADO WAY
Second Line	:
City	:	GREER
State	:	SC
Zip	:	29651-1936
Country	:	US
Telephone Number	:	618-889-1881
Fax Number	:	864-936-0621

Provider Business Practice Location Address
First Line	:	301 HALTON RD STE J
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29607-3498
Country	:	US
Telephone Number	:	864-528-6022
Fax Number	:	864-936-0621

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

Provider Enumeration Date	:	03/29/2013
Last Update Date	:	12/27/2025

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