Richard, Alisa Kaye Gibson

Richard, Alisa Kaye Gibson is an individual health care provider with primary practice located at 311 Williamson Rd Ste 103 , Mooresville NC 28117-5967. 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 / Professional is her primary health care specialty. Richard, Alisa Kaye Gibson can be contacted via phone (704) 360-3049.

Contact Information

Primary practice address
311 Williamson Rd Ste 103 Mooresville NC 28117-5967
Phone: (704) 360-3049
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X A14341 North Carolina
Behavioral Health & Social Service Providers / Counselor 101Y00000X A14341 North Carolina

Profile Details

NPI number 1063997443
LBN Legal business name Richard, Alisa Kaye Gibson
Credentials LCMHCA
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2018
Last updated Jan 24th, 2022 - about 2 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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