Laura Sibert

Individual provider Active NPI Peer Specialist · Annbille, KY

NPI 1689021867 · NPPES record last updated May 18, 2016

Key facts

NPI
1689021867
Entity type
Individual (NPI type 1)
Primary specialty
Peer Specialist 175T00000X
Practice address
105 Campus Dr
Addiction Recovery Care, Louisa Office Location
Annbille, KY 40402
Phone
(606) 681-6390
NPI assigned
May 18, 2016
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X Yes

Addresses

Primary practice location

105 Campus Dr
Addiction Recovery Care, Louisa Office Location
Annbille, KY 40402

Mailing address

PO Box 726
Louisa, KY 41230-0726
Phone (606) 681-6390

Sources for this page

Verify at the official NPI Registry.