Organization
SIBIS COUNSELING CENTER LLC
Active
Other names
Sibis Enterprises Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN LEON PH.D, ED.D, LMHC, (PRESIDENT /CEO)
(219) 884-1655
Entity
Organization
Contact information
Practice address
3195 BROADWAY LOWR LEVEL, GARY, IN 46409-1006
(219) 884-1655
(219) 884-1651
Mailing address
3195 BROADWAY LOWR LEVEL, GARY, IN 46409-1006
(219) 884-1655
(219) 884-1651
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39000758 A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200940750
—
IN
Enumeration date
01/09/2012
Last updated
01/09/2012
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