Provider Demographics
NPI:1447348008
Name:SEIBLE, DARLA LYNETTE (MS)
Entity type:Individual
Prefix:MS
First Name:DARLA
Middle Name:LYNETTE
Last Name:SEIBLE
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6440 N CENTRAL EXPY
Mailing Address - Street 2:STE. 800
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206-4123
Mailing Address - Country:US
Mailing Address - Phone:214-228-5399
Mailing Address - Fax:214-432-7518
Practice Address - Street 1:6440 N CENTRAL EXPY
Practice Address - Street 2:STE. 800
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75206-4123
Practice Address - Country:US
Practice Address - Phone:214-228-5399
Practice Address - Fax:214-432-7518
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2016-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19864101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health