SALLY GIBSON LAC NPI 1871967927

NPI Information

NPI: 1871967927
Provider Name: SALLY GIBSON, LAC
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
1101 MORGAN ST
SUITE 8
PARAGOULD, AR
ZIP 72450
Phone: (870) 335-9483
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Sally Gibson, LAC is a counselor in Paragould, AR. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Sally Gibson, LAC NPI is 1871967927. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1101 MORGAN ST
SUITE 8
PARAGOULD, AR
ZIP 72450-949
Phone: (870) 335-9483
Fax: (870) 335-9487

The enumeration date for this NPI number is 11/30/2015 and was last updated on 5/9/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	171M00000X	Case Manager/Care Coordinator				No
2	101Y00000X	Counselor		A1611137	ARKANSAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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