Doctor Name: | MS. RHEA LUCETTE GIBBS |
NPI Number: | 1205156106 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.C.S.W. |
License Number: | SW 9042 |
Business Practice Address: | 317 Riveredge B Lvd. Suite 104 Cocoa, FL - 32922 |
Business Phone Number: | 3215441149 |
Business Fax Number: | 3216361400 |
Mailing Address: | 317 Riveredge B Lvd., Suite 104 COCOA |
State: | FL |
Postal Code: | 32922 |
Phone Number: | 3215441149 |
Fax Number: | 3216361400 |
NPI Enumeration Date: | 06/03/2010 |
NPI Last Update Date: | 06/03/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | SW 9042 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |