Gibson, Sally

Gibson, Sally is an individual health care provider with primary practice located at 1101 Morgan St Suite 8, Paragould AR 72450-3949. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Gibson, Sally can be contacted via phone (870) 335-9483.

Contact Information

Primary practice address
1101 Morgan St Suite 8 Paragould AR 72450-3949
Phone: (870) 335-9483
Fax: (870) 335-9487
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Professional 101YP2500X P2109006 Arkansas

Profile Details

NPI number 1871967927
LBN Legal business name Gibson, Sally
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2015
Last updated May 2nd, 2022 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1871967927 NPPES
Arkansas MEDICAID 228694795

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