| Brad Sibille Llc | |
|
333 S Main St Opelousas LA 70570-6137 | |
| (337) 945-1032 | |
| (337) 678-1893 |
| Full Name | Brad Sibille Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 333 S Main St, Opelousas, Louisiana |
| Authorized Official Name and Position | Brad Louis Sibille (PROVIDER) |
| Authorized Official Contact | 3379451032 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brad Sibille Llc 333 S Main St Opelousas LA 70570-6137 Ph: (337) 945-1032 | Brad Sibille Llc 333 S Main St Opelousas LA 70570-6137 Ph: (337) 945-1032 |
| NPI Number | 1447685839 |
|---|---|
| Provider Enumeration Date | 09/04/2013 |
| Last Update Date | 09/22/2022 |
| Certification Date | 09/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447685839 | NPI | - | NPPES |
| 3363691 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 5048 (Louisiana) | Primary |
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