Gibbons, Monika Kelly

Gibbons, Monika Kelly is an sole proprietor health care provider with primary practice located at 100 Erdman Way , Leominster MA 01453-1804. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Agencies / Community/Behavioral Health, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Music Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Music Therapist is her primary health care specialty. Gibbons, Monika Kelly can be contacted via phone (978) 840-9354.

Contact Information

Primary practice address
100 Erdman Way Leominster MA 01453-1804
Phone: (978) 840-9354
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Agencies / Community/Behavioral Health 251S00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Music Therapist 225A00000X

Profile Details

NPI number 1992464515
LBN Legal business name Gibbons, Monika Kelly
Credentials MT-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 10th, 2021
Last updated Dec 10th, 2021 - about 3 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 1992464515 NPPES
Massachusetts MEDICAID 05

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