Organization
SENIOR HEALTH AND EDUCATION PARTNERS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROL MINNETTE GIBBS M.D (CEO)
(919) 572-9442
Entity
Organization
Contact information
Practice address
5306 NC HIGHWAY 55 STE 105, DURHAM, NC 27713-7812
(919) 572-9442
(919) 363-7697
Mailing address
5306 NC HIGHWAY 55 STE 105, DURHAM, NC 27713-7812
(919) 572-9442
(919) 363-7697
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891234H
—
NC
Enumeration date
09/09/2014
Last updated
12/08/2022
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