Provider Demographics
NPI:1073408290
Name:BAPTISTE, THERESA S (LPC)
Entity type:Individual
Prefix:
First Name:THERESA
Middle Name:S
Last Name:BAPTISTE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:890 ISAAC DR
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37040-5692
Mailing Address - Country:US
Mailing Address - Phone:931-980-7052
Mailing Address - Fax:931-980-7052
Practice Address - Street 1:890 ISAAC DR
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37040-5692
Practice Address - Country:US
Practice Address - Phone:931-980-7052
Practice Address - Fax:931-980-7052
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN7946101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional