Provider Demographics
NPI:1629482831
Name:BEARDEN, TERI ANN (PLMSW)
Entity type:Individual
Prefix:MRS
First Name:TERI
Middle Name:ANN
Last Name:BEARDEN
Suffix:
Gender:F
Credentials:PLMSW
Other - Prefix:
Other - First Name:TERI
Other - Middle Name:ANN
Other - Last Name:HENDLEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:QBHP
Mailing Address - Street 1:1815 PLEASANT GROVE RD
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72405-7870
Mailing Address - Country:US
Mailing Address - Phone:870-933-6886
Mailing Address - Fax:870-336-1339
Practice Address - Street 1:111 S 3RD AVE
Practice Address - Street 2:
Practice Address - City:PIGGOTT
Practice Address - State:AR
Practice Address - Zip Code:72454-2634
Practice Address - Country:US
Practice Address - Phone:870-598-0306
Practice Address - Fax:870-598-0328
Is Sole Proprietor?:No
Enumeration Date:2014-06-16
Last Update Date:2024-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker