Healthcare Provider Details

I. General information

NPI: 1932392024
Provider Name (Legal Business Name): TERENCE ROZZELL SR. LICDC, LPCC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/22/2007
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2850 LONE OAK RD
PADUCAH KY
42003-8043
US

IV. Provider business mailing address

312 LINCOLN AVE APT A
LEXINGTON KY
40502-1592
US

V. Phone/Fax

Practice location:
  • Phone: 561-677-2375
  • Fax:
Mailing address:
  • Phone: 859-494-1711
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE.2303310
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberC.1801353
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: