Gabriel, Kamieka O. S.

Gabriel, Kamieka O. S. is an sole proprietor health care provider with primary practice located at 2791 Main St , East Point GA 30344-6941. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Counseling is her primary health care specialty. Gabriel, Kamieka O. S. can be contacted via phone (678) 904-0965.

Contact Information

Primary practice address
2791 Main St East Point GA 30344-6941
Phone: (678) 904-0965
Fax: (678) 904-0964
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X PSY002724 Georgia
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PSY002724 Georgia
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY002724 Georgia

Profile Details

NPI number 1336134121
LBN Legal business name Gabriel, Kamieka O. S.
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 17th, 2005
Last updated Jul 9th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1336134121 NPPES
Georgia MEDICAID 101065
Georgia MEDICAID 10049656

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