Individual
THERESA FILLINGIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MDIV, LPC, CACII
Contact information
Practice address
102 ORCHARD DR, EUFAULA, AL 36027-1812
(678) 229-8176
Mailing address
102 ORCHARD DR, EUFAULA, AL 36027-1812
(678) 229-8176
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1978
GA
101YM0800X
Mental Health Counselor
Primary
LPC010751
GA
101YP1600X
Pastoral Counselor
—
GA
Other
Enumeration date
01/08/2016
Last updated
07/18/2025
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