Provider Demographics
NPI:1356237226
Name:GIBSON, MICHAEL S (LPC-A)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:S
Last Name:GIBSON
Suffix:
Gender:M
Credentials:LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 EVELYNS WAY
Mailing Address - Street 2:
Mailing Address - City:HARTWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30643-1733
Mailing Address - Country:US
Mailing Address - Phone:864-642-7118
Mailing Address - Fax:
Practice Address - Street 1:108 ANDERSON AVE
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29625-3518
Practice Address - Country:US
Practice Address - Phone:864-642-6555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-16
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health