Organization
GIBBS COMPREHENSIVE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACI LYNN GIBBS NP (OWNER)
(601) 692-8997
Entity
Organization
Contact information
Practice address
1054 HIGHWAY 19 S, MERIDIAN, MS 39301-8205
(601) 531-3200
(601) 531-3107
Mailing address
1054 HIGHWAY 19 S, MERIDIAN, MS 39301-8205
(601) 561-3200
(601) 531-3107
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02408898
—
MS
Enumeration date
02/23/2016
Last updated
09/14/2023
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