Individual provider · Type 1 NPI

Eric Dwight Gibbs Jr.

Mental Health Counselor · Tampa, FL

NPI number 1174277453 Active

Practice location

4817 Ehrlich Rd
Tampa, FL 33624-2037

Fax (352) 332-8589

Mailing address

2035 SW 75th St Ste B
Gainesville, FL 32607-3425

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
Behavior Technician 106S00000XNone listed

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About NPI 1174277453

Eric Dwight Gibbs Jr.'s National Provider Identifier is 1174277453, issued on Feb 7, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tampa, FL. The record was last updated on May 21, 2022.