Provider Demographics
NPI:1093058760
Name:COCKRELL, GABRIELLE GORMAN (LPC)
Entity Type:Individual
Prefix:MRS
First Name:GABRIELLE
Middle Name:GORMAN
Last Name:COCKRELL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MRS
Other - First Name:GIGI
Other - Middle Name:GORMAN
Other - Last Name:COCKRELL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:4610 ALAMANCE ST
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77521-3001
Mailing Address - Country:US
Mailing Address - Phone:281-424-9130
Mailing Address - Fax:
Practice Address - Street 1:4610 ALAMANCE ST
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-3001
Practice Address - Country:US
Practice Address - Phone:281-424-9130
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-01
Last Update Date:2013-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15523101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health