Provider Demographics
NPI:1225299399
Name:TERESA GREGORY ORMAND, LISW-CP
Entity type:Organization
Organization Name:TERESA GREGORY ORMAND, LISW-CP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:GREGORY
Authorized Official - Last Name:ORMAND
Authorized Official - Suffix:
Authorized Official - Credentials:LISW-CP
Authorized Official - Phone:803-287-4771
Mailing Address - Street 1:114 WILLIAMS ST
Mailing Address - Street 2:SUITE 113
Mailing Address - City:LANCASTER
Mailing Address - State:SC
Mailing Address - Zip Code:29720-2483
Mailing Address - Country:US
Mailing Address - Phone:803-287-4771
Mailing Address - Fax:803-286-0183
Practice Address - Street 1:114 WILLIAMS ST
Practice Address - Street 2:SUITE 113
Practice Address - City:LANCASTER
Practice Address - State:SC
Practice Address - Zip Code:29720-2483
Practice Address - Country:US
Practice Address - Phone:803-287-4771
Practice Address - Fax:803-286-0183
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-22
Last Update Date:2008-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC8272251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health