| Gibson Therapy Services, Llc | |
|
2720 7th St Tuscaloosa AL 35401-1806 | |
| (205) 210-8099 | |
| (205) 248-2254 |
| Full Name | Gibson Therapy Services, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 2720 7th St, Tuscaloosa, Alabama |
| Authorized Official Name and Position | Christie W Gibson (OWNER) |
| Authorized Official Contact | 2052108099 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gibson Therapy Services, Llc 2720 7th St Tuscaloosa AL 35401-1806 Ph: (205) 210-8099 | Gibson Therapy Services, Llc 2720 7th St Tuscaloosa AL 35401-1806 Ph: (205) 210-8099 |
| NPI Number | 1639727183 |
|---|---|
| Provider Enumeration Date | 08/28/2019 |
| Last Update Date | 02/26/2024 |
| Certification Date | 02/26/2024 |
| Medicare PECOS PAC ID | 6709224603 |
|---|---|
| Medicare Enrollment ID | O20240410001851 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639727183 | NPI | - | NPPES |
| 511-74803 | Other | AL | BLUE CROSS BLUE SHIELD |
| 1124451638 | Other | AL | AMERICAN BEHAVIORAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Christie Wheat Gibson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1124451638 PECOS PAC ID: 7517305410 Enrollment ID: I20240410002009 |
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