Provider Demographics
NPI:1942674064
Name:GALIBER, HENNA R
Entity Type:Individual
Prefix:
First Name:HENNA
Middle Name:R
Last Name:GALIBER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:HENNA
Other - Middle Name:ODETTE
Other - Last Name:ROEBUCK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1601 N GOLDENROD RD STE 2
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32807-8308
Mailing Address - Country:US
Mailing Address - Phone:407-704-7811
Mailing Address - Fax:407-382-0659
Practice Address - Street 1:1601 N GOLDENROD RD STE 2
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32807-8308
Practice Address - Country:US
Practice Address - Phone:407-704-7811
Practice Address - Fax:407-382-0659
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty