GIBBS COMPREHENSIVE CARE, LLC (NPI# 1538528294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538528294 |
| Entity Type | Organization |
| Organization Name | GIBBS COMPREHENSIVE CARE, LLC |
| Practice Address |
2967a Highway 11 and 80 Toomsuba MS 39364 |
| Mailing Address |
1054 Highway 19 S Meridian MS 39301-8205 |
| Practice Telephone | 6016928997 |
| Mailing Telephone | 6015613200 |
| Mailing Fax Number | 6015313107 |
| Enumeration Date | 2016-02-23 |
| Last Update Date | 2019-09-05 |
| Authorized Official Name | TRACI LYNN GIBBS (OWNER) |
| Authorized Official Telephone | 6016928997 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 02408898 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1054 Highway 19 S, Meridian, MS 393018205 | 6015313200 | 6015313107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295201242 | Gibbs Comprehensive Care, LLC | Community/Behavioral Health | 101 Reeves Street, Bernice, LA 71222 | 2018-10-17 |
| Street Address |
2967A HIGHWAY 11 AND 80 |
| City | TOOMSUBA |
| State | MS |
| Zip Code | 39364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124559232 | Corvell Coburn | Social Worker | 2967a Highway 11 and 80, Toomsuba, MS 39364-9470 | 2017-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881865319 | Edward Welch | Social Worker | 5907 Lauderdale Toomsuba Rd, Toomsuba, MS 39364-0515 | 2008-03-12 |
| 1902010986 | Wadie Hill Abraham II | Obstetrics & Gynecology | 2373 Highway 11 and 80, Toomsuba, MS 39364-9441 | 2007-05-09 |
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
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| 1386272094 | Mississippi Behavioral Health Care, LLC | Community/Behavioral Health | 1312 Harrison Ave Ste C, Mccomb, MS 39648-2805 | 2020-03-29 |
| 1538703053 | Quest Fitness | Community/Behavioral Health | 1693 Lakeover Rd, Jackson, MS 39213-8015 | 2019-10-29 |
| 1265080576 | Health Connect America, Inc | Community/Behavioral Health | 104 Highway 15 N, New Albany, MS 38652-5313 | 2019-08-29 |
| 1326502535 | V.k. Johnson, Lcsw & Consultants, LLC | Community/Behavioral Health | 2637 Ridgewood Rd Ste De, Jackson, MS 39216-4922 | 2019-01-22 |
| 1801362264 | Solution Journey Counseling, LLC | Community/Behavioral Health | 301 Humble Ave Ste 160, Hattiesburg, MS 39401-6343 | 2018-10-23 |
| 1316412646 | Delta Counseling Services LLC | Community/Behavioral Health | 103 S Court St Ste 116, Cleveland, MS 38732-2651 | 2018-10-13 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.