Gibson, Stacie Levine
Gibson, Stacie Levine is an sole proprietor health care provider with primary practice located at 2911 Benchmark Trl , Killeen TX 76543-5918. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Gibson, Stacie Levine can be contacted via phone (254) 535-0727.Contact Information
Primary practice address
2911 Benchmark Trl
Killeen TX 76543-5918
Phone: (254) 535-0727
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 8455 | Texas |
Profile Details
NPI number | 1023603768 |
---|---|
LBN Legal business name | Gibson, Stacie Levine |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 4th, 2021 |
Last updated | Mar 4th, 2021 - about 4 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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