Provider Demographics
NPI:1083486286
Name:TERRELL, SELLERS ELIZABETH (MS, LPC-MHSP)
Entity Type:Individual
Prefix:MS
First Name:SELLERS
Middle Name:ELIZABETH
Last Name:TERRELL
Suffix:
Gender:F
Credentials:MS, LPC-MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3918 MONTCLAIR RD STE 206
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN BRK
Mailing Address - State:AL
Mailing Address - Zip Code:35213-2418
Mailing Address - Country:US
Mailing Address - Phone:205-994-2798
Mailing Address - Fax:205-778-5304
Practice Address - Street 1:3918 MONTCLAIR RD STE 206
Practice Address - Street 2:
Practice Address - City:MOUNTAIN BRK
Practice Address - State:AL
Practice Address - Zip Code:35213-2418
Practice Address - Country:US
Practice Address - Phone:205-994-2798
Practice Address - Fax:205-778-5304
Is Sole Proprietor?:No
Enumeration Date:2023-10-23
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALLPC05153101YP2500X
TN6706101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional