Campbell, Libby Theo

Campbell, Libby Theo is an individual health care provider with primary practice located at 7345 Sandlake Rd #409, Orlando FL 32819. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Campbell, Libby Theo can be contacted via phone (407) 354-0430.

Contact Information

Primary practice address
7345 Sandlake Rd #409 Orlando FL 32819
Phone: (407) 354-0430
Fax: (407) 354-0430
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X MH00003126 Florida
Behavioral Health & Social Service Providers / Counselor 101Y00000X NBCC44397

Profile Details

NPI number 1558419184
LBN Legal business name Campbell, Libby Theo
Credentials PHD LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Jul 8th, 2007 - about 18 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 1558419184 NPPES
Florida Other Z6446 BCBS

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