Sydney Terrell, LPC | |
1291 Circle Dr, Burlington, CO 80807-1245 | |
(719) 346-8183 | |
Not Available |
Full Name | Sydney Terrell |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 1291 Circle Dr, Burlington, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578221123 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | LPC.0020010 (Colorado) | Primary |
Entity Name | Centennial Mental Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861479677 PECOS PAC ID: 5193717213 Enrollment ID: O20040331000194 |
Mailing Address | Practice Location Address |
---|---|
Sydney Terrell, LPC 1291 Circle Dr, Burlington, CO 80807-1245 Ph: (719) 346-8183 | Sydney Terrell, LPC 1291 Circle Dr, Burlington, CO 80807-1245 Ph: (719) 346-8183 |
Dr. Ralph S. Datema, D MIN. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1564 Senter Ave, Burlington, CO 80807 Phone: 303-974-0947 | |
Jenna Deubler, Counselor Medicare: Medicare Enrolled Practice Location: 2060 Donelan Ave, Burlington, CO 80807 Phone: 719-203-2040 | |
Katie Leigh Gay, Counselor Medicare: Not Enrolled in Medicare Practice Location: 252 S 14th St, Burlington, CO 80807 Phone: 719-346-7158 | |
Brenda Reyes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1291 Circle Dr, Burlington, CO 80807 Phone: 719-346-8183 Fax: 719-346-0292 | |
Susan Leigh Sandoval, C.A.T. Counselor Medicare: Not Enrolled in Medicare Practice Location: 451 14th St, Burlington, CO 80807 Phone: 719-297-1818 | |
Harold Mcnerney, MSW, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 1291 Circle Dr, Burlington, CO 80807 Phone: 719-346-8183 |