Individual ProviderTeresa AndersonCounselorBehavioral Health & Social Service ProvidersPractice Address1414 Steam Engine Way NE, Conyers, GA 30013-1594(770) 262-3263(470) 535-7351PECOS EnrollmentBased on the most recent information from CMS, provider Teresa Anderson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1831648468Provider TypeIndividualFull NameAnderson, TeresaCredentialED.D, LPCGenderFemaleSole ProprietorYesEnumeration Date9/23/2016Last Updated10/15/2020Contact InformationPractice LocationPractice Address1414 Steam Engine Way NE, Conyers, GA 30013-1594Phone(770) 262-3263FaxUnlisted FaxMailing LocationMailing Address1414 Steam Engine Way NE, Conyers, GA 30013-1594Phone(470) 535-7351FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YP2500XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseLPC009315GeorgiaCode101YP2500XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseAPC003459Georgia