MEDICARE: VESHA GIBSON LPC-A

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

General Provider Information

NPI Number	:	1932032869
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VESHA GIBSON LPC-A

Provider Business Mailing Address
First Line	:	3725 VITRUVIAN WAY APT 410
Second Line	:
City	:	ADDISON
State	:	TX
Zip	:	75001-4590
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3725 VITRUVIAN WAY APT 410
Second Line	:
City	:	ADDISON
State	:	TX
Zip	:	75001-4590
Country	:	US
Telephone Number	:	832-755-4860
Fax Number	:

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

Provider Enumeration Date	:	06/08/2026
Last Update Date	:	06/08/2026

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Directions to “ VESHA GIBSON LPC-A” Practice Location

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