Individual
LAKISHA GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CHW
Contact information
Practice address
777 MAIN ST STE 600, FORT WORTH, TX 76102-5368
(512) 817-4248
(888) 473-2963
Mailing address
777 MAIN ST STE 600, FORT WORTH, TX 76102-5368
(512) 817-4248
(888) 473-2963
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
172V00000X
Community Health Worker
—
—
251B00000X
Case Management Agency
15908
TX
Other
Enumeration date
05/25/2023
Last updated
05/01/2025
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