Crocker, Gayle Elizabeth

Crocker, Gayle Elizabeth is an sole proprietor health care provider with primary practice located at 8620 Sw 12Th St , Pembroke Pines FL 33025-5323. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Crocker, Gayle Elizabeth can be contacted via phone (954) 588-3612.

Contact Information

Primary practice address
8620 Sw 12Th St Pembroke Pines FL 33025-5323
Phone: (954) 588-3612
Fax: (423) 822-5729
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X IMH10399 Florida
Behavioral Health & Social Service Providers / School 101YS0200X 716753 Florida
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH14010 Georgia

Profile Details

NPI number 1174874473
LBN Legal business name Crocker, Gayle Elizabeth
Credentials MHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2012
Last updated Oct 13th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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