Healthcare Provider Details

I. General information

NPI: 1619814704
Provider Name (Legal Business Name): PAIGE SIBILIA
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 W BROAD ST STE 101
BETHLEHEM PA
18018-5229
US

IV. Provider business mailing address

701 W BROAD ST STE 101
BETHLEHEM PA
18018-5229
US

V. Phone/Fax

Practice location:
  • Phone: 570-520-2251
  • Fax:
Mailing address:
  • Phone: 570-520-2251
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: