Provider Demographics
NPI:1235925421
Name:TEETER, MADELEINE MILLS (LMHC)
Entity type:Individual
Prefix:
First Name:MADELEINE
Middle Name:MILLS
Last Name:TEETER
Suffix:
Gender:
Credentials:LMHC
Other - Prefix:
Other - First Name:MADELEINE
Other - Middle Name:MILLS
Other - Last Name:HJELM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6619 BROTHERHOOD WAY
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46825-4226
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:37 E WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:SHELBYVILLE
Practice Address - State:IN
Practice Address - Zip Code:46176-1363
Practice Address - Country:US
Practice Address - Phone:260-307-5030
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-16
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health