MEDICARE: MS. ROSEMARY F TINDALL-GIBSON LMFT 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
1	101Y00000X	Counselor	001161	CT
2	106H00000X	Marriage & Family Therapist	000949	CT
3	106H00000X	Marriage & Family Therapist	1215	MA

General Provider Information

NPI Number	:	1245212679
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ROSEMARY F TINDALL-GIBSON LMFT LPC

Provider Business Mailing Address
First Line	:	264 RICHARDS ROAD EXT
Second Line	:
City	:	LITCHFIELD
State	:	CT
Zip	:	06759-3836
Country	:	US
Telephone Number	:	860-283-9887
Fax Number	:	860-283-8488

Provider Business Practice Location Address
First Line	:	264 RICHARDS ROAD EXT
Second Line	:
City	:	LITCHFIELD
State	:	CT
Zip	:	06759-3836
Country	:	US
Telephone Number	:	860-283-9887
Fax Number	:	860-283-8488

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/21/2005
Last Update Date	:	09/11/2025

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