MEDICARE: LS RIGHT DIRECTION LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	385HR2055X	Child Mental Illness Respite Care
2	385H00000X	Respite Care

General Provider Information

NPI Number	:	1386575926
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LS RIGHT DIRECTION LLC

Provider Business Mailing Address
First Line	:	1270 CARDINAL LN APT A
Second Line	:
City	:	GREEN BAY
State	:	WI
Zip	:	54313-7154
Country	:	US
Telephone Number	:	920-634-5074
Fax Number	:

Provider Business Practice Location Address
First Line	:	1270 CARDINAL LN APT A
Second Line	:
City	:	GREEN BAY
State	:	WI
Zip	:	54313-7154
Country	:	US
Telephone Number	:	920-634-5074
Fax Number	:

Authorized Official
Title or Position	:	BEHAVIORAL SPECIALIST
Name	:	LEE ANDREW SIVELS
Credential	:	CPI CERTIFIED
Telephone Number	:	920-634-5074

Provider Enumeration Date	:	05/25/2026
Last Update Date	:	05/25/2026

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Directions to “LS RIGHT DIRECTION LLC ” Practice Location

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