Sonita Chevette Gibbs, LPC
Individual provider Active NPI Professional Counselor · Fairview, NC
NPI 1891990800 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1891990800
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 45443 (NC)
- Practice address
- 83 Blue Ridge Development Road
Fairview, NC 28730-1735 - Phone
- (828) 628-0105
- NPI assigned
- Jun 19, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 45443 | NC | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 45443 | NC | Yes |
Addresses
Primary practice location
83 Blue Ridge Development Road
Fairview, NC 28730-1735
Mailing address
PO Box 1735
83 Blue Ridge Development Road
Fairview, NC 28730-1735
Phone (828) 628-0105
Other providers in Fairview, NC
- Fleshers Fairview Health Care
- Fleshers Fairview Health Care
- Fleshers Fairview Rest Home Inc
- Kristin Brumm Friedmann
- Rebecca Lynn Fugate
- Gift of Giving Home Health Agency
- Jennifer M Gift
- Marilyn M Graham
- Erin Greger
- Grey Matters Psychotherapy PLLC
All providers in Fairview, NC · Professional Counselor in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.