Provider Demographics
NPI:1598558538
Name:WHITE, TEENA N
Entity type:Individual
Prefix:
First Name:TEENA
Middle Name:N
Last Name:WHITE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10777 WESTHEIMER RD STE 1100
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77042-3462
Mailing Address - Country:US
Mailing Address - Phone:346-801-8535
Mailing Address - Fax:
Practice Address - Street 1:1702 SKINNER ST APT 3205
Practice Address - Street 2:
Practice Address - City:FREEPORT
Practice Address - State:TX
Practice Address - Zip Code:77541-3666
Practice Address - Country:US
Practice Address - Phone:346-801-8535
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-23
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician