<Unavail>

LBN: Gibson Center For Behavioral Change
<Unavail> is an health care organization with primary practice located at 340 S Broadview St , Cape Girardeau MO 63703-5703. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Psychiatry, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty. Gibson Center For Behavioral Change can be contacted via phone (573) 332-0416, or through Essex, Ryan via phone (573) 803-4145.

Contact Information

Primary practice address
340 S Broadview St Cape Girardeau MO 63703-5703
Phone: (573) 332-0416
Fax: (573) 335-2698
Website:
Map and Directions
Authorized official contact:
Name: Essex, Ryan
Phone: (573) 803-4145

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2009023490 Missouri
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2001007821 Missouri
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2004002713 Missouri
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 001113 Missouri
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 002005 Missouri
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2002031993 Missouri
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MO2005003649 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult 364SP0809X 096892 Missouri

Profile Details

NPI number 1164719373
LBN Legal business name Gibson Center For Behavioral Change
DBA Doing business as <Unavail>
Authorized official Essex, Ryan
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 8th, 2011
Last updated Jan 31st, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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