| Sibis Counseling Center Llc | |
|
3195 Broadway Lowr Level Gary IN 46409-1006 | |
| (219) 884-1655 | |
| (219) 884-1651 |
| Full Name | Sibis Counseling Center Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3195 Broadway Lowr Level, Gary, Indiana |
| Authorized Official Name and Position | Benjamin Leon (PRESIDENT /CEO) |
| Authorized Official Contact | 2198841655 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sibis Counseling Center Llc 3195 Broadway Lowr Level Gary IN 46409-1006 Ph: (219) 884-1655 | Sibis Counseling Center Llc 3195 Broadway Lowr Level Gary IN 46409-1006 Ph: (219) 884-1655 |
| NPI Number | 1548530439 |
|---|---|
| Provider Enumeration Date | 01/09/2012 |
| Last Update Date | 01/09/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548530439 | NPI | - | NPPES |
| 200940750 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 39000758 A (Indiana) | Primary |
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