IndividualActive
Mariea Gibbs, LMT, CMMP
NPI 1518216233 · Community Health Worker · Columbia, SC
Provider details
- NPI number
- 1518216233
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Credential
- LMT, CMMP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 7141 (SC)
Specialties & taxonomies
Other Service Providers
Practice location
110 Perry Oaks Ln.
Columbia, SC 29229
Phone: (803) 404-2559
Approximate (ZIP-level) locationGet directions
Mailing address
110 Perry Oaks Ln.
Columbia, SC 29229
Registry dates
- Enumerated
- 2012-09-10
- Last updated
- 2014-07-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.