Bradley Gibbs, PLPC
Counselor, Mental Health in Rolla, MO. Individual provider (NPI-1).
NPI number1124875398
StatusActive
Last updated in NPPESJul 8, 2025
Details
- NPI
- 1124875398
- Entity type
- Individual (NPI-1)
- Name
- Bradley Gibbs
- Credential
- PLPC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 4, 2024
- Certification date
- Jul 8, 2025
- Last updated
- Jul 8, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 2024029145 | MO | Yes |
| 101Y00000X | Counselor | – | MO | |
| 101YM0800X | Counselor, Mental Health | – | MO | |
| 101YP2500X | Counselor, Professional | – | MO |
Other names
- Brad Gibbs (Other Name)
Practice location
1060 W 10th St Ste 300Rolla, MO 65401-2905
Phone 844-853-8937
Mailing address
10025 Cedar Ridge DrRolla, MO 65401-7762
Phone 573-247-3818
Other practice locations
901 N Pine St Ste 101
Rolla, MO 65401-3181
Rolla, MO 65401-3181
Phone 573-426-2277
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