Teresa Wilburn Bethany, LMFT
Individual provider Active NPI Mental Health Counselor · Universal City, TX
NPI 1790403202 · NPPES record last updated Aug 19, 2022
Key facts
- NPI
- 1790403202
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 202850 (TX)
- Practice address
- 109 Splitrock LN
Universal City, TX 78148-5521 - Phone
- (210) 392-5827
- NPI assigned
- Aug 19, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202850 | TX | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 202850 | TX | Yes |
Addresses
Primary practice location
109 Splitrock LN
Universal City, TX 78148-5521
Mailing address
109 Splitrock LN
Universal City, TX 78148-5521
Phone (210) 392-5827
Other providers in Universal City, TX
- Esmeralda N Barraza
- Ramona O Barrientos
- Cheyenne S Beal
- Amber Beck
- Sharyn H Bell
- Tiffany Beverly
- Nicholas Bialobos
- Tiffany Birdsong-Hatnot
- Blue Zone Therapy PLLC
- Bocalingual Speech Therapy LLC
All providers in Universal City, TX · Mental Health Counselor in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.