Organization
OUR CREATED LIVES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH SIEBERT MA, LPC (OWNER/PSYCHOTHERAPIST)
(920) 245-5090
Entity
Organization
Contact information
Practice address
2454 MORGAN LN, GREEN BAY, WI 54311-5509
(920) 245-5090
Mailing address
2454 MORGAN LN, GREEN BAY, WI 54311-5509
(920) 245-5090
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
11/16/2022
Last updated
11/17/2022
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