Provider Demographics
NPI:1891384673
Name:KNAKE, SYDNEY MARIE TREZZA (MS, LPC, LMHC, NCC)
Entity type:Individual
Prefix:
First Name:SYDNEY
Middle Name:MARIE TREZZA
Last Name:KNAKE
Suffix:
Gender:
Credentials:MS, LPC, LMHC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1408 14TH COURT
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-5112
Mailing Address - Country:US
Mailing Address - Phone:860-488-2947
Mailing Address - Fax:
Practice Address - Street 1:1408 14TH COURT
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-3341
Practice Address - Country:US
Practice Address - Phone:860-488-2947
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-15
Last Update Date:2025-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health