Provider Demographics
NPI:1528153491
Name:STYRON, DORIS A (LCSW)
Entity type:Individual
Prefix:
First Name:DORIS
Middle Name:A
Last Name:STYRON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P. O. BOX 1285
Mailing Address - Street 2:SUNRISE COUNSELING SERVICES INC.,
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80104-1285
Mailing Address - Country:US
Mailing Address - Phone:303-263-2938
Mailing Address - Fax:303-814-6834
Practice Address - Street 1:310 CORONADO DRIVE
Practice Address - Street 2:SUNRISE COUNSELING SERVICES INC.,
Practice Address - City:SEDALIA
Practice Address - State:CO
Practice Address - Zip Code:80135
Practice Address - Country:US
Practice Address - Phone:303-263-2938
Practice Address - Fax:303-814-6834
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9925031041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical