Provider Demographics
NPI:1467233122
Name:SIERENS COUNSELING SERVICES LLC
Entity Type:Organization
Organization Name:SIERENS COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:SHERRI
Authorized Official - Middle Name:D
Authorized Official - Last Name:SIERENS
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:602-451-8737
Mailing Address - Street 1:3920 E SUNNYSIDE DR
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85028-1413
Mailing Address - Country:US
Mailing Address - Phone:602-319-0154
Mailing Address - Fax:
Practice Address - Street 1:2920 E NORTHERN AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85028-4818
Practice Address - Country:US
Practice Address - Phone:602-451-8737
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-09
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health