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NPI Code Detail

MEDICARE: MRS. ANASTASIA GIBBS LPC

MEDICARE:  MRS. ANASTASIA  GIBBS  LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor03194MN
2101Y00000XCounselor6401224919MI

General Provider Information

NPI Number : 1336673342
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ANASTASIA GIBBS LPC
Provider Business Mailing Address
First Line : 1098 ANN ARBOR RD W STE 651
Second Line :
City : PLYMOUTH
State : MI
Zip : 48170-2129
Country : US
Telephone Number : 734-623-9404
Fax Number :
Provider Business Practice Location Address
First Line : 8063 BERKSHIRE DR
Second Line :
City : YPSILANTI
State : MI
Zip : 48198-3687
Country : US
Telephone Number : 734-623-9404
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2017
Last Update Date : 12/21/2025

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Directions to “ MRS. ANASTASIA GIBBS LPC” Practice Location

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