Provider Demographics
NPI:1861541179
Name:CARGILE, TERESA MARGARET STEELE (MA LPC LICENSED PROF)
Entity type:Individual
Prefix:MS
First Name:TERESA
Middle Name:MARGARET STEELE
Last Name:CARGILE
Suffix:
Gender:F
Credentials:MA LPC LICENSED PROF
Other - Prefix:MS
Other - First Name:TERESA
Other - Middle Name:
Other - Last Name:STEELE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA LPC LICENSED PROF
Mailing Address - Street 1:190 LIME QUARRY RD
Mailing Address - Street 2:STE 106 TC COUNSELING SVS
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35758
Mailing Address - Country:US
Mailing Address - Phone:256-653-5831
Mailing Address - Fax:
Practice Address - Street 1:190 LIME QUARRY RD
Practice Address - Street 2:STE 106 TC COUNSELING SVS
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35758
Practice Address - Country:US
Practice Address - Phone:256-653-5831
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL#1952101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51510770CAROtherAL BLUE CROSS BLUE SHIELD