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NPI Code Detail

MEDICARE: TERESA GALACIA MTS, MT-BC, ECEA

MEDICARE: TERESA GALACIA MTS, MT-BC, ECEA
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
1225A00000XMusic Therapist06705TN
2101Y00000XCounselor

General Provider Information

NPI Number : 1871723429
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERESA GALACIA MTS, MT-BC, ECEA
Provider Business Mailing Address
First Line : 200 TECH CENTER DR
Second Line :
City : KNOXVILLE
State : TN
Zip : 37912-2747
Country : US
Telephone Number : 865-637-9711
Fax Number :
Provider Business Practice Location Address
First Line : 5645 MERCHANTS CENTER BLVD
Second Line :
City : KNOXVILLE
State : TN
Zip : 37912-3470
Country : US
Telephone Number : 865-637-9711
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2009
Last Update Date : 06/28/2022

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Directions to “ TERESA GALACIA MTS, MT-BC, ECEA” Practice Location

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