Individual
DR. LIBBY THEO CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD LMHC
Contact information
Practice address
7345 SANDLAKE RD, #409, ORLANDO, FL 32819
(407) 354-0430
(407) 354-0430
Mailing address
10312 POINTVIEW CRT, ORLANDO, FL 32836
(407) 354-0430
(407) 354-0430
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MH00003126
FL
101Y00000X
Counselor
NBCC44397
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z6446
BCBS
FL
Enumeration date
01/08/2007
Last updated
07/08/2007
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