Susann Renee Light-Gibson in Gray - Counselor
Susann Renee Light-Gibson - NPI 1649315300
Susann Renee Light-Gibson is a Counselor in Gray, Tennessee. Susann Renee Light-Gibson practices all healthcare services and medical treatments related to Counselor. The NPI Number for Susann Renee Light-Gibson is 1649315300. The last update date is 2007-07-08.
Susann Renee Light-Gibson's current location address is Po Box 9054, Gray, Tennessee. You can contact this provider via phone number 4234673600 and fax number 4234673644. The mailing address for Susann Renee Light-Gibson is Po Box 9054, Gray, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susann Renee Light-Gibson |
|---|---|
| Address | Po Box 9054, Gray, Tennessee |
| Phone Number | 4234673600 |
| Fax Number | 4234673644 |
| Sole Proprietor | N |
| Credentials | MED, CSAC |
NPI Number Detail
| NPI Number | 1649315300 |
|---|---|
| Provider Enumeration Date | 2007-02-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 9054 |
|---|---|
| City | Gray |
| State | Tennessee (TN) |
| Post Code | 376159054 |
| Phone Number | 4234673600 |
| Fax Number | 4234673644 |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
| Licence No | 710102161 |
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Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
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What is the unique identification code assigned to Susann Renee Light-Gibson by the Centers for Medicare & Medicaid Services?
The Susann Renee Light-Gibson has been issued the NPI (National Provider Identifier) 1649315300. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Susann Renee Light-Gibson is physically located?
The Susann Renee Light-Gibson is physically situated at the following address: Po Box 9054, Gray, TN, 376159054.
What is Susann Renee Light-Gibson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Susann Renee Light-Gibson's specialized field of practice is Counselor, and the corresponding taxonomy code that categorizes this area of specialization is 101Y00000X.
On what date did Susann Renee Light-Gibson receive its 1649315300 assignment from the Centers for Medicare & Medicaid Services?
The Susann Renee Light-Gibson was assigned its 1649315300 on 2007-02-21, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Susann Renee Light-Gibson's information last updated?
The Susann Renee Light-Gibson's information was last updated on 2007-07-08.