Ray, Teresa Childres
Ray, Teresa Childres is an individual health care provider with primary practice located at 258 E Garrison Blvd , Gastonia NC 28054-0460. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Ray, Teresa Childres can be contacted via phone (704) 861-8405.Contact Information
Primary practice address
258 E Garrison Blvd
Gastonia NC 28054-0460
Phone: (704) 861-8405
Fax: (704) 865-0590
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 2295 | North Carolina |
Profile Details
| NPI number | 1215914742 |
|---|---|
| LBN Legal business name | Ray, Teresa Childres |
| Credentials | MA, NCC, LPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 27th, 2005 |
| Last updated | Jul 13th, 2026 - about 4 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215914742 | NPPES |
| North Carolina | Other | B4131 | MEDCOST.DOC ID # |
| North Carolina | MEDICAID | 6005064 | MEDCOST.DOC ID # |
| North Carolina | Other | 0258G | MEDCOST.DOC ID # |
| North Carolina | Other | 1039E | MEDCOST.DOC ID # |
| North Carolina | MEDICAID | 6102251 | MEDCOST.DOC ID # |
| North Carolina | Other | 7433388 | MEDCOST.DOC ID # |
| North Carolina | Other | 7361114 | MEDCOST.DOC ID # |
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