Andy Sibley Counseling Services, INC.
Clinic/Center, Mental Health (Including Community Mental Health Center) in Shreveport, LA. Organization (NPI-2).
NPI number1316271877
StatusActive
Last updated in NPPESSep 30, 2009
Details
- NPI
- 1316271877
- Entity type
- Organization (NPI-2)
- Legal business name
- Andy Sibley Counseling Services, INC.
- Organization subpart
- No
- Enumeration date
- Sep 30, 2009
- Last updated
- Sep 30, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | 830 | LA | Yes |
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | 2841 | LA |
Practice location
920 Pierremont RdSuite 205
Shreveport, LA 71106-2079
Phone 318-868-5008 · Fax 318-868-5051
Mailing address
920 Pierremont RdSuite 205
Shreveport, LA 71106-2079
Phone 318-868-5008 · Fax 318-868-5051
Authorized official
Andy Sibley
President / Practitioner
3188685008
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