Tracy Gibbs
Counselor, Mental Health in Charleston, SC. Individual provider (NPI-1).
NPI number1255035366
StatusActive
Last updated in NPPESMar 30, 2023
Details
- NPI
- 1255035366
- Entity type
- Individual (NPI-1)
- Name
- Tracy Gibbs
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 30, 2023
- Certification date
- Mar 30, 2023
- Last updated
- Mar 30, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
2100 Charlie Hall BlvdCharleston, SC 29414-5832
Phone 843-852-4100
Mailing address
2100 Charlie Hall BlvdCharleston, SC 29414-5832
Phone 843-852-4100
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