Provider Demographics
NPI:1538470307
Name:ALLISON SIBLEY & ASSOCIATES
Entity Type:Organization
Organization Name:ALLISON SIBLEY & ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:BRACKETT
Authorized Official - Last Name:SIBLEY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LICSW
Authorized Official - Phone:202-244-0535
Mailing Address - Street 1:4115 WISCONSIN AVENUE NW
Mailing Address - Street 2:SUITE 107
Mailing Address - City:WASHINGTON DC
Mailing Address - State:USA
Mailing Address - Zip Code:20010
Mailing Address - Country:UM
Mailing Address - Phone:202-244-0535
Mailing Address - Fax:
Practice Address - Street 1:4115 WISCONSIN AVE NW
Practice Address - Street 2:SUITE 107
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-2812
Practice Address - Country:US
Practice Address - Phone:202-244-0535
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-28
Last Update Date:2010-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC500776941041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty