Provider Demographics
NPI:1083806202
Name:GILBERT, DAWN ELIZABETH (LPC-THERAPIST)
Entity Type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:ELIZABETH
Last Name:GILBERT
Suffix:
Gender:F
Credentials:LPC-THERAPIST
Other - Prefix:
Other - First Name:N/A
Other - Middle Name:
Other - Last Name:N/A
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:115 OGLETHORPE PROFESSIONAL CT STE 3
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31406-3624
Mailing Address - Country:US
Mailing Address - Phone:912-233-4294
Mailing Address - Fax:912-350-4937
Practice Address - Street 1:115 OGLETHORPE PROFESSIONAL CT STE 3
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-3624
Practice Address - Country:US
Practice Address - Phone:912-233-4294
Practice Address - Fax:912-350-4937
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-11
Last Update Date:2007-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC004354101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional