Bobby Gibson Jr, MS | |
328 W Claiborne St, Monroeville, AL 36460-1738 | |
(251) 575-4203 | |
(251) 575-9459 |
Full Name | Bobby Gibson Jr |
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Gender | Male |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 328 W Claiborne St, Monroeville, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164964615 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
Entity Name | Southwest Alabama Behavioral Health Care Systems |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881628162 PECOS PAC ID: 5395762835 Enrollment ID: O20060111000468 |
Mailing Address | Practice Location Address |
---|---|
Bobby Gibson Jr, MS 328 W Claiborne St, Monroeville, AL 36460-1738 Ph: (251) 575-4203 | Bobby Gibson Jr, MS 328 W Claiborne St, Monroeville, AL 36460-1738 Ph: (251) 575-4203 |
Ms. Wanda White, RN/COUNSELOR Counselor Medicare: Not Enrolled in Medicare Practice Location: 530 Hornady Dr, Monroeville, AL 36460 Phone: 251-575-4837 Fax: 251-575-5266 | |
Alicia Brown, M.ED Counselor Medicare: Not Enrolled in Medicare Practice Location: 530 Hornady Dr, Monroeville, AL 36460 Phone: 251-575-4837 | |
Ayriel Knight, Counselor Medicare: Not Enrolled in Medicare Practice Location: 530 Hornady Dr, Monroeville, AL 36460 Phone: 251-575-4203 Fax: 251-575-9459 | |
Barbara Ferguson Mcmillan, LPC-S Counselor Medicare: Medicare Enrolled Practice Location: 60 Hines St Ste 200, Monroeville, AL 36460 Phone: 251-282-8913 | |
Mr. David Quarker Jr., M.S.A.C.E. Counselor Medicare: Not Enrolled in Medicare Practice Location: 530 Hornady Dr, Monroeville, AL 36460 Phone: 251-575-4837 Fax: 251-575-4837 | |
Jennifer Andress Ball, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 530 Hornady Dr, Monroeville, AL 36460 Phone: 251-575-4837 | |
Lavonna Watson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 530 Hornady Dr, Monroeville, AL 36460 Phone: 251-575-4203 Fax: 251-575-9459 |