Organization
T.A.V.E.R.N. HEALTH AND WELLNESS, LLC
Active
Other names
Gayla Gibson
Organization subpart
No
Provider details
NPI number
Authorized official
GAYLA R GIBSON MA, LPC (THERAPIST)
(314) 385-9550
Entity
Organization
Contact information
Practice address
11042 MANCHESTER RD, KIRKWOOD, MO 63122-1244
(314) 385-9550
Mailing address
5517 ALBIA TERR, JENNINGS, MO 63136-1222
(314) 385-9550
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
174H00000X
Health Educator
—
—
Other
Enumeration date
11/27/2019
Last updated
11/27/2019
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