National Provider Identifier

Hollis Tibbetts

Hollis Tibbetts is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Elmira, NY and a listed phone number of (607) 737-2490.

NPI 1427911379Elmira, NYMental Health Counselor

Profile Overview

NPI
1427911379
Provider Type
Individual
Primary Specialty
Mental Health Counselor
Enumeration Date
December 08, 2025
Last Updated
December 08, 2025

Practice Location

  • 310 Pennsylvania Ave
  • Elmira, NY 14904-1458

Phone: (607) 737-2490

Mailing Address

  • 218 W 1St St
  • Elmira, NY 14901-2746

Specialties

  • Mental Health Counselor (101YM0800X)
Full Record
NPI
1427911379
Entity Type
Individual
Last Name
Tibbetts
First Name
Hollis
Mailing Street Address
218 W 1St St
Mailing City
Elmira
Mailing State
NY
Mailing ZIP Code
14901-2746
Mailing Country
US
Mailing Phone
(607) 737-2490
Practice Street Address
310 Pennsylvania Ave
Practice City
Elmira
Practice State
NY
Practice ZIP Code
14904-1458
Practice Country
US
Practice Phone
(607) 737-2490
Enumeration Date
December 08, 2025
Last Updated
December 08, 2025
Sex
Male
Sole Proprietor
No
Certification Date
December 08, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Mental Health Counselor (101YM0800X)