Provider Demographics
NPI:1619637113
Name:SEIBERT, HANNAH NOELLE (LGPC)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:NOELLE
Last Name:SEIBERT
Suffix:
Gender:F
Credentials:LGPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5136 FOXVILLE GDNS
Mailing Address - Street 2:
Mailing Address - City:SABILLASVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21780-8607
Mailing Address - Country:US
Mailing Address - Phone:808-230-5645
Mailing Address - Fax:
Practice Address - Street 1:5136 FOXVILLE GDNS
Practice Address - Street 2:
Practice Address - City:SABILLASVILLE
Practice Address - State:MD
Practice Address - Zip Code:21780-8607
Practice Address - Country:US
Practice Address - Phone:808-230-5645
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-23
Last Update Date:2021-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLG12122101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty