Provider Demographics
NPI:1851181929
Name:SIBLEY, KONTERRIA E
Entity type:Individual
Prefix:
First Name:KONTERRIA
Middle Name:E
Last Name:SIBLEY
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 34022
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77234-4022
Mailing Address - Country:US
Mailing Address - Phone:713-409-0286
Mailing Address - Fax:
Practice Address - Street 1:10935 ALMEDA GENOA RD # 34022
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77034-3617
Practice Address - Country:US
Practice Address - Phone:713-409-0286
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-10
Last Update Date:2025-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX107117104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker