Cook, Tereia Sidden

Cook, Tereia Sidden is an individual health care provider with primary practice located at 107 W Independence Blvd Suite 200, Mount Airy NC 27030-3589. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Cook, Tereia Sidden can be contacted via phone (336) 786-5855.

Contact Information

Primary practice address
107 W Independence Blvd Suite 200 Mount Airy NC 27030-3589
Phone: (336) 786-5855
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCAS #470 North Carolina
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC #3746 North Carolina

Profile Details

NPI number 1720161136
LBN Legal business name Cook, Tereia Sidden
Credentials LPC, LCAS, CCS
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2006
Last updated May 21st, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720161136 NPPES
North Carolina MEDICAID 6102326

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