Provider Demographics
NPI:1629826318
Name:TEAL, MARTHA MCNEIL (LPC-ASSOCIATE)
Entity type:Individual
Prefix:MRS
First Name:MARTHA
Middle Name:MCNEIL
Last Name:TEAL
Suffix:
Gender:F
Credentials:LPC-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8226 SANDY GLEN LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77071-3636
Mailing Address - Country:US
Mailing Address - Phone:832-781-0445
Mailing Address - Fax:
Practice Address - Street 1:8226 SANDY GLEN LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77071-3636
Practice Address - Country:US
Practice Address - Phone:832-419-1185
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-08
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX90495101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health