| Gibbs Comprehensive Care, Llc | |
|
101 Reeves Street Bernice LA 71222 | |
| (601) 531-3200 | |
| (601) 531-3107 |
| Full Name | Gibbs Comprehensive Care, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 101 Reeves Street, Bernice, Louisiana |
| Authorized Official Name and Position | Traci Lynn Gibbs (OWNER) |
| Authorized Official Contact | 6016928997 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gibbs Comprehensive Care, Llc Po Box 188 Toomsuba MS 39364-0188 Ph: (601) 531-3200 | Gibbs Comprehensive Care, Llc 101 Reeves Street Bernice LA 71222 Ph: (601) 531-3200 |
| NPI Number | 1295201242 |
|---|---|
| Provider Enumeration Date | 10/17/2018 |
| Last Update Date | 10/23/2019 |
| Medicare PECOS PAC ID | 3476850694 |
|---|---|
| Medicare Enrollment ID | O20181218001904 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295201242 | NPI | - | NPPES |
| 03673567 | Medicaid | MS | |
| 2487949 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Traci Gibbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104074210 PECOS PAC ID: 3577692227 Enrollment ID: I20181221001671 |
| Provider Name | Mary Larkin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013056555 PECOS PAC ID: 9436348984 Enrollment ID: I20240529003078 |
Intuitive Solutions Counseling And Recovery Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 451 Henry Smith Rd, Bernice, LA 71222 Phone: 318-533-2660 |