Organization
BRAD SIBILLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD LOUIS SIBILLE MS LPC (PROVIDER)
(337) 945-1032
Entity
Organization
Contact information
Practice address
333 S MAIN ST, OPELOUSAS, LA 70570-6137
(337) 945-1032
(337) 678-1893
Mailing address
333 S MAIN ST, OPELOUSAS, LA 70570-6137
(337) 945-1032
(337) 678-1893
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5048
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3363691
—
LA
Enumeration date
09/04/2013
Last updated
09/22/2022
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