Provider Demographics
NPI:1013543677
Name:VANCIL, SHIRLEY NOELLE TURNER (MA, LPC, NCC)
Entity Type:Individual
Prefix:
First Name:SHIRLEY
Middle Name:NOELLE TURNER
Last Name:VANCIL
Suffix:
Gender:F
Credentials:MA, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1055 HARTELL DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80911-3511
Mailing Address - Country:US
Mailing Address - Phone:719-359-7309
Mailing Address - Fax:
Practice Address - Street 1:655 SOUTHPOINTE CT STE 202
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80906-3859
Practice Address - Country:US
Practice Address - Phone:719-359-7309
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-16
Last Update Date:2020-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0016130101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional