Most Relevant Information
Provider Data
| NPI Number: | 1003461492 |
| Provider Name: | TIPHANIE GIBBS |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: | LCM832 |
Most Important Dates
| Enumeration Date: | 08/03/2019 |
| Last Updated: | 01/08/2022 |
Provider Practice Location
16701 MELFORD BLVD STE 400
BOWIE
MD
207154411
Practice Location Phone/Fax
| Phone: | 4024572592 |
| Fax: |
Provider Mailing Location
16701 MELFORD BLVD STE 400
BOWIE
MD
207154411
Provider Mailing Phone/Fax
| Phone: | 2402457259 |
| Fax: |