Provider Demographics
NPI:1114103728
Name:GABRIEL ASSOCIATES INC.
Entity Type:Organization
Organization Name:GABRIEL ASSOCIATES INC.
Other - Org Name:CICERO COUNSELING & WELLNESS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:LEAH
Authorized Official - Last Name:SHIRLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW
Authorized Official - Phone:317-984-5939
Mailing Address - Street 1:209 S PERU ST
Mailing Address - Street 2:SUITE 210-211
Mailing Address - City:CICERO
Mailing Address - State:IN
Mailing Address - Zip Code:46034-9687
Mailing Address - Country:US
Mailing Address - Phone:317-984-5939
Mailing Address - Fax:317-984-2465
Practice Address - Street 1:209 S PERU ST
Practice Address - Street 2:SUITE 210-211
Practice Address - City:CICERO
Practice Address - State:IN
Practice Address - Zip Code:46034-9687
Practice Address - Country:US
Practice Address - Phone:317-984-5939
Practice Address - Fax:317-984-2465
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-14
Last Update Date:2008-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty