Provider Demographics
NPI:1013232461
Name:SEIBEL, TALITHA C (CLD (ALACE))
Entity Type:Individual
Prefix:
First Name:TALITHA
Middle Name:C
Last Name:SEIBEL
Suffix:
Gender:F
Credentials:CLD (ALACE)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:971 RICE ST NW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30318-4973
Mailing Address - Country:US
Mailing Address - Phone:404-933-8857
Mailing Address - Fax:
Practice Address - Street 1:971 RICE ST NW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30318-4973
Practice Address - Country:US
Practice Address - Phone:404-933-8857
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-29
Last Update Date:2010-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula