Provider Demographics
NPI:1851846471
Name:LAIBINIS, ALBERT (CADC)
Entity Type:Individual
Prefix:
First Name:ALBERT
Middle Name:
Last Name:LAIBINIS
Suffix:
Gender:M
Credentials:CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:884 WALKER RD
Mailing Address - Street 2:#B
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19904-2758
Mailing Address - Country:US
Mailing Address - Phone:302-678-4911
Mailing Address - Fax:
Practice Address - Street 1:884 WALKER RD
Practice Address - Street 2:#B
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19904-2758
Practice Address - Country:US
Practice Address - Phone:302-678-4911
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-24
Last Update Date:2016-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE1404101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty