Healthcare Provider Details

I. General information

NPI: 1386575926
Provider Name (Legal Business Name): LS RIGHT DIRECTION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1270 CARDINAL LN APT A
GREEN BAY WI
54313-7154
US

IV. Provider business mailing address

1270 CARDINAL LN APT A
GREEN BAY WI
54313-7154
US

V. Phone/Fax

Practice location:
  • Phone: 920-634-5074
  • Fax:
Mailing address:
  • Phone: 920-634-5074
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385HR2055X
TaxonomyChild Mental Illness Respite Care
License Number
License Number State

VIII. Authorized Official

Name: LEE ANDREW SIVELS
Title or Position: BEHAVIORAL SPECIALIST
Credential: CPI CERTIFIED
Phone: 920-634-5074