Gibson, Kimyatta Simone

Gibson, Kimyatta Simone is an sole proprietor health care provider with primary practice located at 700 19Th St S , Birmingham AL 35233-1927. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Gibson, Kimyatta Simone can be contacted via phone (205) 933-8101.

Contact Information

Primary practice address
700 19Th St S Birmingham AL 35233-1927
Fax: (205) 212-3173
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 3695G Alabama

Profile Details

NPI number 1245765379
LBN Legal business name Gibson, Kimyatta Simone
Credentials LMSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 26th, 2017
Last updated Apr 26th, 2017 - about 9 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.

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