Gibby, Nicole Lee

Gibby, Nicole Lee is an individual health care provider with primary practice located at 14733 S Telegraph Rd , Monroe MI 48161-9545. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Gibby, Nicole Lee can be contacted via phone (734) 243-8707.

Contact Information

Primary practice address
14733 S Telegraph Rd Monroe MI 48161-9545
Phone: (734) 243-8707
Fax: (734) 243-8710
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 6801089564 Michigan
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 6801089564 Michigan

Profile Details

NPI number 1720261928
LBN Legal business name Gibby, Nicole Lee
Credentials MSW LLSW
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2007
Last updated Dec 11th, 2007 - about 17 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 1720261928 NPPES
Ohio MEDICAID 2604097

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