Provider Demographics
NPI:1831603554
Name:BIBAS, SILVIA MICHELLE (LMHC)
Entity type:Individual
Prefix:MISS
First Name:SILVIA
Middle Name:MICHELLE
Last Name:BIBAS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4952 SW 121ST AVE
Mailing Address - Street 2:
Mailing Address - City:COOPER CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33330-4461
Mailing Address - Country:US
Mailing Address - Phone:786-344-4175
Mailing Address - Fax:
Practice Address - Street 1:2300 N COMMERCE PKWY STE 101
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33326-3255
Practice Address - Country:US
Practice Address - Phone:954-540-3577
Practice Address - Fax:954-217-5702
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-17
Last Update Date:2017-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL14067101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty