Gibbs, Andrea Lynn

Gibbs, Andrea Lynn is an sole proprietor health care provider with primary practice located at 1 Heritage Dr # 520 , Southgate MI 48195-3094. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Gibbs, Andrea Lynn can be contacted via phone (734) 560-0173.

Contact Information

Primary practice address
1 Heritage Dr # 520 Southgate MI 48195-3094
Phone: (734) 560-0173
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 6401008014 Michigan
Behavioral Health & Social Service Providers / Counselor 101Y00000X 6401008014 Michigan

Profile Details

NPI number 1376665034
LBN Legal business name Gibbs, Andrea Lynn
Credentials MA, LPC, NCC, BSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 4th, 2007
Last updated Dec 16th, 2019 - about 5 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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