Provider Demographics
NPI:1649712399
Name:INTEGRATIVE SLEEP WAKE HEALTH, PLLC
Entity type:Organization
Organization Name:INTEGRATIVE SLEEP WAKE HEALTH, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:T
Authorized Official - Last Name:SIEBERN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, DAC, LAC, CBSM
Authorized Official - Phone:919-624-9863
Mailing Address - Street 1:1441 E BROAD ST STE 81
Mailing Address - Street 2:
Mailing Address - City:FUQUAY VARINA
Mailing Address - State:NC
Mailing Address - Zip Code:27526-1968
Mailing Address - Country:US
Mailing Address - Phone:919-624-9863
Mailing Address - Fax:
Practice Address - Street 1:602 E ACADEMY ST STE 105
Practice Address - Street 2:
Practice Address - City:FUQUAY VARINA
Practice Address - State:NC
Practice Address - Zip Code:27526-2382
Practice Address - Country:US
Practice Address - Phone:919-624-9863
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-12
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes173F00000XOther Service ProvidersSleep Specialist, PhDGroup - Multi-Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty