Provider Demographics
NPI:1417667189
Name:SEUFERER, SYDNEY (T-LMHC, NCC)
Entity Type:Individual
Prefix:
First Name:SYDNEY
Middle Name:
Last Name:SEUFERER
Suffix:
Gender:F
Credentials:T-LMHC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 5TH AVE STE 600
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50309-2319
Mailing Address - Country:US
Mailing Address - Phone:515-471-2357
Mailing Address - Fax:
Practice Address - Street 1:505 5TH AVE STE 600
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50309-2319
Practice Address - Country:US
Practice Address - Phone:515-471-2357
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-02
Last Update Date:2022-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA117612101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health