CONSTACE GIBSON, MFT LLC
NPI 1124856364
Community/Behavioral Health in Santa Rosa, CA

Q: What is Constace Gibson, Mft LLC's NPI number?

The NPI number for Constace Gibson, Mft LLC is 1124856364. It was assigned to this organization in the NPPES registry on July 22, 2024. The provider is doing business as Constance Gibson, MFT.

Q: What is Constace Gibson, Mft LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since July 22, 2024

2613 VILLAGE SIDE DR, SANTA ROSA, CA 95405(707) 583-9287 Get Directions Write a Review

NPPES record last updated: July 22, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Constace Gibson, Mft Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CONSTACE GIBSON, MFT LLC (NPI 1124856364), doing business as Constance Gibson, Mft, is a healthcare organization registered as a community/behavioral health in Santa Rosa, California and active in the NPI registry since July 2024. The organization lists Constance Gibson, Owner, as its authorized official.

NPPES Registry Identity

NPI1124856364

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameCONSTACE GIBSON, MFT LLC

Location Address2613 VILLAGE SIDE DRSanta Rosa, CA 95405-6849

Mailing AddressPo Box 11746Olympia, WA 98508-1746 · (707) 583-9287

Phone(707) 583-9287

Organization SubpartNo

Authorized OfficialConstance GibsonOwner · (707) 583-9287

Enumeration DateJuly 22, 2024

NPPES CertifiedJuly 19, 2024

✔ NPI 1124856364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

2613 VILLAGE SIDE DR, Santa Rosa, CA 95405

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Other Names 1

Doing Business AsConstance Gibson, Mft

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Constace Gibson, Mft LLC's NPI number?

The NPI number for Constace Gibson, Mft LLC is 1124856364. It was assigned to this organization in the NPPES registry on July 22, 2024. The provider is doing business as Constance Gibson, MFT.

Where is Constace Gibson, Mft LLC located?

Constace Gibson, Mft LLC is located at 2613 Village Side Dr, Santa Rosa, CA 95405. The listed phone number is (707) 583-9287.

What is Constace Gibson, Mft LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Constace Gibson, Mft LLC was last updated on July 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.