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NPI Code Detail

MEDICARE: MRS. SYDNEY R PELTIER LPC

MEDICARE: MRS. SYDNEY R PELTIER LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor3276TN
2101YM0800XMental Health Counselor0701005067VA

General Provider Information

NPI Number : 1427337070
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SYDNEY R PELTIER LPC
Provider Business Mailing Address
First Line : 100 5TH ST STE 310
Second Line :
City : BRISTOL
State : TN
Zip : 37620-5919
Country : US
Telephone Number : 865-588-3173
Fax Number : 865-244-3579
Provider Business Practice Location Address
First Line : 100 5TH ST STE 310
Second Line :
City : BRISTOL
State : TN
Zip : 37620-5919
Country : US
Telephone Number : 865-588-3173
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2011
Last Update Date : 01/08/2026

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Directions to “ MRS. SYDNEY R PELTIER LPC” Practice Location

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