Gibson, Chaquita

Gibson, Chaquita is an sole proprietor health care provider with primary practice located at 5637 Paladium Dr , Dallas TX 75249. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Gibson, Chaquita can be contacted via phone (214) 641-2276.

Contact Information

Primary practice address
5637 Paladium Dr Dallas TX 75249
Phone: (214) 641-2276
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X 58388 Texas
Behavioral Health & Social Service Providers / Clinical 1041C0700X 58388 Texas

Profile Details

NPI number 1245613470
LBN Legal business name Gibson, Chaquita
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2015
Last updated Jun 4th, 2018 - about 8 years 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.

Request for update

Popular Providers