Gail Bibb, LMFT, LCSW
Individual provider Active NPI Marriage & Family Therapist · Louisville, KY
NPI 1497513162 · NPPES record last updated Mar 7, 2024
Key facts
- NPI
- 1497513162
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 278391 (KY)
- Practice address
- 308 Evergreen Rd
Louisville, KY 40243-1076 - Phone
- (502) 632-3282
- NPI assigned
- Mar 7, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 257202 | KY | MD | Clinical Social Worker |
| 278391 | KY | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Revive Counseling & Wellness, LLC | Marriage & Family Therapist | Current |
Accepting new patients |
Locations
308 Evergreen Rd
Ste 140
Louisville, KY 40243
Phone (502) 632-3282
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 257202 | KY | |
| Marriage & Family Therapist | 106H00000X | 278391 | KY | Yes |
Addresses
Primary practice location
308 Evergreen Rd
Louisville, KY 40243-1076
Mailing address
308 Evergreen Rd Ste 140
Louisville, KY 40243-1076
Phone (502) 632-3282
Other providers in Louisville, KY
- Frida Bianco
- Massimo Bianco
- Dashina Bibb
- Dephany Bibb
- Donald William Bibb
- Karen W Bibb
- Shantia Bibbs
- Katherine Brooke Bickel
- Sarah Bickel
- Scott Graham Bickel
All providers in Louisville, KY · Marriage & Family Therapist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.