Gomez, Gabriella
Gomez, Gabriella is an sole proprietor health care provider with primary practice located at 8309 Office Park Dr Suite A, Douglasville GA 30134-6935. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Gomez, Gabriella can be contacted via phone (770) 577-2929.Contact Information
Primary practice address
8309 Office Park Dr Suite A
Douglasville GA 30134-6935
Phone: (770) 577-2929
Fax: (770) 562-2759
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC002714 | Georgia |
Profile Details
| NPI number | 1558434969 |
|---|---|
| LBN Legal business name | Gomez, Gabriella |
| Credentials | M.S., L.P.C. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 15th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558434969 | NPPES |
| Georgia | Other | PVPB106934 | APS PROVIDER # |
| Georgia | Other | 022538 | APS PROVIDER # |
| Georgia | Other | 2044180 | APS PROVIDER # |
| Georgia | Other | 7200230 | APS PROVIDER # |
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