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Contact Information

THERESA FILLINGIM, MDIV, LPC, CACII
102 ORCHARD DR
EUFAULA, AL36027-1812
 Phone: 678-229-8176
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Addiction (Substance Use Disorder)

101YA0400X
 

Pastoral

101YP1600X
Indicates primary specialty

NPI Profile & details for THERESA FILLINGIM · (Female)

NPI Number 1154787943
Status Active
Credentials MDIV, LPC, CACII
Entity Individual
Enumeration date 01/08/2016
Last updated 07/18/2025 - About 11 months ago
Sole proprietor 1 Yes
Identifiers
  • GA License # 1978
  • GA License # LPC010751
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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