Provider Demographics
NPI:1356727945
Name:SEIBER, MOIRIA ELAINE (PLPC)
Entity type:Individual
Prefix:
First Name:MOIRIA
Middle Name:ELAINE
Last Name:SEIBER
Suffix:
Gender:F
Credentials:PLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5686 COUNTY ROAD 1820
Mailing Address - Street 2:
Mailing Address - City:WEST PLAINS
Mailing Address - State:MO
Mailing Address - Zip Code:65775-5496
Mailing Address - Country:US
Mailing Address - Phone:417-293-2668
Mailing Address - Fax:
Practice Address - Street 1:2695 STATE ROUTE U
Practice Address - Street 2:
Practice Address - City:WILLOW SPRINGS
Practice Address - State:MO
Practice Address - Zip Code:65793-3426
Practice Address - Country:US
Practice Address - Phone:417-293-2668
Practice Address - Fax:417-469-0456
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-05
Last Update Date:2015-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2015026837101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional