Gibson, Janet Irene

Gibson, Janet Irene is an sole proprietor health care provider with primary practice located at 555 Round Rock West Dr Suite E232, Round Rock TX 78681-5052. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Gibson, Janet Irene can be contacted via phone (512) 677-4183.

Contact Information

Primary practice address
555 Round Rock West Dr Suite E232 Round Rock TX 78681-5052
Phone: (512) 677-4183
Fax: (866) 617-5633
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH8748 Florida
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MT 2498 Florida

Profile Details

NPI number 1871651125
LBN Legal business name Gibson, Janet Irene
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 5th, 2006
Last updated Oct 14th, 2013 - about 11 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 1871651125 NPPES
Florida Other Z00K3 BCBS
Florida MEDICAID 767861400 BCBS

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