Provider Demographics
NPI:1497638233
Name:TEAGUE, DANNA (LPC-A)
Entity type:Individual
Prefix:
First Name:DANNA
Middle Name:
Last Name:TEAGUE
Suffix:
Gender:F
Credentials:LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8627 TIMBER LDG
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78250-5918
Mailing Address - Country:US
Mailing Address - Phone:210-526-1450
Mailing Address - Fax:
Practice Address - Street 1:8627 TIMBER LDG
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78250-5918
Practice Address - Country:US
Practice Address - Phone:210-526-1450
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-29
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX99137101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health