Active NPIIndividual providerSole proprietor

Gabrielle J Davis, LAC, NCC

Counselor, Mental Health in Matawan, New Jersey

NPI Number1871091579
Practice location
166 Main St, Matawan, NJ 07747
Fax
—
Last updated
June 18, 2018

Gabrielle J Davis is a Counselor, Mental Health based in Matawan, NJ. Gabrielle J Davis practices in Matawan, NJ and has the professional credentials of LAC, NCC. The NPI Number for Gabrielle J Davis is 1871091579 and holds a License No. 37AC00400000 (NJ). The current practice location address for Gabrielle J Davis is 166 Main St, Matawan, NJ 07747 and can be reached out via phone at 732-290-9040.

Provider Profile Details

NPI Number
1871091579
Provider Name
Gabrielle J Davis
Credential
LAC, NCC
Provider Entity Type
Individual
Gender
Female
Address
166 Main St, Matawan, NJ 07747
Phone Number
732-290-9040
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
January 28, 2018
Last Update Date
June 18, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
166 Main St
Matawan, NJ 07747
Zip
07747
Phone Number
732-290-9040
Matawan, NJ 07747Get directions →

Provider Business Mailing Address Details

Address
166 Main St
Matawan, NJ 07747-3104
City
Matawan
State
NJ
Zip
07747-3104

License Information

License Number
37AC00400000
License State
NJ
Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Gabrielle J Davis, LAC, NCC?

The NPI number of Gabrielle J Davis, LAC, NCC is 1871091579. It was assigned on January 28, 2018 and is currently active in the NPPES registry.

What is the specialty of Gabrielle J Davis, LAC, NCC?

Gabrielle J Davis, LAC, NCC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number 37AC00400000.

Where does Gabrielle J Davis, LAC, NCC practice?

The practice location is 166 Main St, Matawan, NJ 07747. The office can be reached at 732-290-9040 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1871091579 directly on the NPPES registry website.

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