Provider Demographics
NPI:1235530213
Name:KUCENSKI, SYDNEE (MS MH CLINICAL COUNS)
Entity Type:Individual
Prefix:
First Name:SYDNEE
Middle Name:
Last Name:KUCENSKI
Suffix:
Gender:F
Credentials:MS MH CLINICAL COUNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4040 MEMORIAL PKWY SW APT 15
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35802-4364
Mailing Address - Country:US
Mailing Address - Phone:256-533-1970
Mailing Address - Fax:256-532-4112
Practice Address - Street 1:4040 MEMORIAL PKWY SW APT 15
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35802-4364
Practice Address - Country:US
Practice Address - Phone:256-533-1970
Practice Address - Fax:256-532-4112
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-10
Last Update Date:2020-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL330000014Medicaid