IndividualActive
Derril Teague, MA, LPC ASSOCIATE
NPI 1174471700 · Professional Counselor · Aledo, TX
Provider details
- NPI number
- 1174471700
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- MA, LPC ASSOCIATE
- Sex
- Male
- Sole proprietor
- Yes
- License
- 101968 (TX)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
213 Old Annetta Rd
Aledo, TX 76008-4455
Phone: (972) 345-4602
Approximate (ZIP-level) locationGet directions
Mailing address
213 Old Annetta Rd
Aledo, TX 76008-4455
Registry dates
- Enumerated
- 2026-03-19
- Last updated
- 2026-03-19
- Certified
- 2026-03-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.