Gibbons, Rebeca
Gibbons, Rebeca is an sole proprietor health care provider with primary practice located at 2866 Stanton Rd Se , Conyers GA 30094-2652. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Gibbons, Rebeca can be contacted via phone (404) 438-9978.Contact Information
Primary practice address
2866 Stanton Rd Se
Conyers GA 30094-2652
Phone: (404) 438-9978
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LPC012856 | Georgia |
Profile Details
| NPI number | 1073927430 |
|---|---|
| LBN Legal business name | Gibbons, Rebeca |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 13th, 2014 |
| Last updated | Apr 9th, 2026 - about 7 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073927430 | NPPES |
| Georgia | MEDICAID | 904270988A |
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