Provider Demographics
NPI:1538633540
Name:SIBLEY, DIONA CAPREES (RSW)
Entity type:Individual
Prefix:
First Name:DIONA
Middle Name:CAPREES
Last Name:SIBLEY
Suffix:
Gender:F
Credentials:RSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1629 FRONT ST
Mailing Address - Street 2:
Mailing Address - City:BOGALUSA
Mailing Address - State:LA
Mailing Address - Zip Code:70427-5713
Mailing Address - Country:US
Mailing Address - Phone:985-570-3650
Mailing Address - Fax:
Practice Address - Street 1:1629 FRONT ST
Practice Address - Street 2:
Practice Address - City:BOGALUSA
Practice Address - State:LA
Practice Address - Zip Code:70427-5713
Practice Address - Country:US
Practice Address - Phone:985-570-3650
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-14
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA8446171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator