Provider Demographics
NPI:1770948788
Name:TERRELL, SONYA (LMFT)
Entity type:Individual
Prefix:
First Name:SONYA
Middle Name:
Last Name:TERRELL
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20816 N MAIN ST STE 203
Mailing Address - Street 2:
Mailing Address - City:CORNELIUS
Mailing Address - State:NC
Mailing Address - Zip Code:28031-8468
Mailing Address - Country:US
Mailing Address - Phone:980-689-0437
Mailing Address - Fax:
Practice Address - Street 1:20816 N MAIN ST STE 203
Practice Address - Street 2:
Practice Address - City:CORNELIUS
Practice Address - State:NC
Practice Address - Zip Code:28031-8468
Practice Address - Country:US
Practice Address - Phone:980-689-0437
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-17
Last Update Date:2018-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC10080A106H00000X
NC1889106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist