Individual provider · NPI-1

Antonice S Bibbs, LCSW

Social Worker, Clinical · Killeen, TX

NPI number1336338599

StatusActive

Last updated in NPPESMar 27, 2019

Details

NPI: 1336338599
Entity type: Individual (NPI-1)
Name: Antonice S Bibbs
Credential: LCSW
Sex: Female
Sole proprietor: Yes
Enumeration date: Oct 23, 2007
Last updated: Mar 27, 2019

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
1041C0700X	Social Worker, Clinical	58471	TX	Yes
1041C0700X	Social Worker, Clinical	6801087893	MI
171M00000X	Case Manager/Care Coordinator	–	–

Practice location

1711 E Central Texas Expy
Suite 301
Killeen, TX 76541-9166

Phone 254-458-2353 · Fax 254-853-4177

Mailing address

1711 E Central Texas Expy Ste 301
Killeen, TX 76541-9147

Phone 254-458-2353 · Fax 254-853-4177

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