| Holly Gibbons Lmhc Llc | |
|
345 Samuel St Davenport FL 33897-6218 | |
| (407) 883-1891 | |
| Not Available |
| Full Name | Holly Gibbons Lmhc Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 345 Samuel St, Davenport, Florida |
| Authorized Official Name and Position | David Gibbons (REGISTERED AGENT) |
| Authorized Official Contact | 4078831891 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holly Gibbons Lmhc Llc 345 Samuel St Davenport FL 33897-6218 Ph: (407) 883-1891 | Holly Gibbons Lmhc Llc 345 Samuel St Davenport FL 33897-6218 Ph: (407) 883-1891 |
| NPI Number | 1356202279 |
|---|---|
| Provider Enumeration Date | 11/20/2025 |
| Last Update Date | 11/20/2025 |
| Certification Date | 11/20/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356202279 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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