Individual
WILLIAM THOMAS BIBB JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1675 ANSEL RD, CLEVELAND, OH 44106-4181
(216) 299-7780
Mailing address
1675 ANSEL RD APT 1329, CLEVELAND, OH 44106-4175
(216) 299-7780
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
161717
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
161717
OH
103TA0400X
Addiction (Substance Use Disorder) Psychologist
161717
OH
103TH0100X
Health Service Psychologist
161717
OH
133NN1002X
Nutrition Education Nutritionist
161717
OH
171400000X
Health & Wellness Coach
161717
OH
171M00000X
Case Manager/Care Coordinator
161717
OH
174400000X
Specialist
161717
OH
1744R1102X
Research Study Specialist
161717
OH
174H00000X
Health Educator
161717
OH
208D00000X
General Practice Physician
161717
OH
225800000X
Recreation Therapist
161717
OH
251K00000X
Public Health or Welfare Agency
Primary
161717
OH
261QP0904X
Federal Public Health Clinic/Center
161717
OH
405300000X
Prevention Professional
161717
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
72379863
—
OH
Enumeration date
08/17/2017
Last updated
10/06/2025
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