# COLLETTE C GIBBONS NP LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Southpointe Psychiatry & Wellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407637374
- **Authorized official:** COLLETTE C GIBBONS CRNP (OWNER)
- **Authorized official phone:** (412) 719-9176

## Contact information

- **Practice address:** 135 TECHNOLOGY DR STE 204, CANONSBURG, PA 15317-9549
- **Practice address phone:** (724) 399-3931
- **Practice address fax:** (724) 618-3853
- **Mailing address:** 343 OAK FOREST DR, PITTSBURGH, PA 15216-1122
- **Mailing address phone:** (412) 719-9176

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/09/2023
- **Last updated:** 05/06/2024