Individual
TERESA BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6707 LARKSTONE ST, HOUSTON, TX 77028-2207
(832) 799-1921
(832) 799-1921
Mailing address
6707 LARKSTONE ST, HOUSTON, TX 77028-2207
(832) 799-1921
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/26/2018
Last updated
03/26/2018
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