Provider Demographics
NPI:1932392024
Name:ROZZELL, TERENCE SR (LICDC, LPCC)
Entity type:Individual
Prefix:DR
First Name:TERENCE
Middle Name:
Last Name:ROZZELL
Suffix:SR
Gender:M
Credentials:LICDC, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12880 CHERRY LN
Mailing Address - Street 2:
Mailing Address - City:CHESTERLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44026-3021
Mailing Address - Country:US
Mailing Address - Phone:330-255-9227
Mailing Address - Fax:
Practice Address - Street 1:2800 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44115-2408
Practice Address - Country:US
Practice Address - Phone:800-284-7483
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-22
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.2303310101YP2500X
OHLICDC.161908101YA0400X
OHC.1801353101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)