Provider Demographics
NPI:1609601939
Name:SIPE, LYRIC
Entity type:Individual
Prefix:
First Name:LYRIC
Middle Name:
Last Name:SIPE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1003 W 7TH ST STE 403
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21701-8532
Mailing Address - Country:US
Mailing Address - Phone:443-328-4946
Mailing Address - Fax:
Practice Address - Street 1:1003 W 7TH ST STE 403
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21701-8532
Practice Address - Country:US
Practice Address - Phone:443-328-4946
Practice Address - Fax:443-539-8173
Is Sole Proprietor?:No
Enumeration Date:2024-09-05
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor