Medley-Hood, Teresia

Medley-Hood, Teresia is an individual health care provider with primary practice located at 3137 Amity Ct Suite 400, Charlotte NC 28215-4935. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical, Nursing Service Providers / Home Health. Nursing Service Providers / Home Health is her primary health care specialty. Medley-Hood, Teresia can be contacted via phone (704) 536-7326.

Contact Information

Primary practice address
3137 Amity Ct Suite 400 Charlotte NC 28215-4935
Phone: (704) 536-7326
Fax: (704) 536-7147
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 1041C0700X C011490 North Carolina
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Nursing Service Providers / Home Health 163WH0200X 2222222 North Carolina

Profile Details

NPI number 1730330689
LBN Legal business name Medley-Hood, Teresia
Credentials MSW, LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 8th, 2008
Last updated Feb 14th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730330689 NPPES
North Carolina MEDICAID 0000000

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