Healthcare Provider Details

I. General information

NPI: 1306189121
Provider Name (Legal Business Name): ANGELA L SEIBERT LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2013
Last Update Date: 06/14/2021
Certification Date: 06/14/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3565 LONE OAK RD STE 2
PADUCAH KY
42003-5717
US

IV. Provider business mailing address

300 HOPE ST
MT WASHINGTON KY
40047-7757
US

V. Phone/Fax

Practice location:
  • Phone: 270-554-3714
  • Fax: 270-554-8322
Mailing address:
  • Phone: 502-538-1000
  • Fax: 502-538-1100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number102987
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: