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NPI Code Detail

MEDICARE: TIONA LATOYA GIBBS LCMHC

MEDICARE:   TIONA LATOYA GIBBS  LCMHC
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
1101YP2500XProfessional Counselor7910NC

General Provider Information

NPI Number : 1467752410
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIONA LATOYA GIBBS LCMHC
Provider Business Mailing Address
First Line : 800 N. MANGUM ST. SUITE 103
Second Line :
City : DURHAM
State : NC
Zip : 27707
Country : US
Telephone Number :
Fax Number : 877-664-2842
Provider Business Practice Location Address
First Line : 800 N MANGUM ST STE 103
Second Line :
City : DURHAM
State : NC
Zip : 27701-2260
Country : US
Telephone Number : 919-824-2321
Fax Number : 877-664-2842
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2010
Last Update Date : 08/18/2023

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Directions to “ TIONA LATOYA GIBBS LCMHC” Practice Location

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