Healthcare Provider Details

I. General information

NPI: 1821594839
Provider Name (Legal Business Name): ROBERT LOYD NORMAN SIBLEY LCMHC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/30/2018
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

92 MAIN ST STE 102
NASHUA NH
03060-2719
US

IV. Provider business mailing address

9 THOMPSON ST
CHARLESTOWN MA
02129-3617
US

V. Phone/Fax

Practice location:
  • Phone: 951-547-2909
  • Fax:
Mailing address:
  • Phone: 603-320-1123
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number2019
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: