Gibson, Lakisha
Gibson, Lakisha is an sole proprietor health care provider with primary practice located at 777 Main St Ste 600 , Fort Worth TX 76102-5368. She recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Community Health Worker, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Agencies / Community/Behavioral Health, Respite Care Facility / Respite Care, Mental Illness, Child, Agencies / Case Management. Agencies / Case Management is her primary health care specialty. Gibson, Lakisha can be contacted via phone (682) 438-3346.Contact Information
Primary practice address
777 Main St Ste 600
Fort Worth TX 76102-5368
Phone: (682) 438-3346
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | ||
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | ||
| Other Service Providers / Community Health Worker | 172V00000X | 15908 | Texas |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist | 222Q00000X | ||
| Agencies / Community/Behavioral Health | 251S00000X | ||
| Respite Care Facility / Respite Care, Mental Illness, Child | 385HR2055X | ||
| Agencies / Case Management | 251B00000X |
Profile Details
| NPI number | 1619669603 |
|---|---|
| LBN Legal business name | Gibson, Lakisha |
| Credentials | DSHS CHW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 25th, 2023 |
| Last updated | Jun 29th, 2024 - about 6 months 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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