Provider Demographics
NPI:1164579637
Name:ANJULI, GAILMARIE (LPC, LCAS)
Entity Type:Individual
Prefix:
First Name:GAILMARIE
Middle Name:
Last Name:ANJULI
Suffix:
Gender:F
Credentials:LPC, LCAS
Other - Prefix:
Other - First Name:GAILMARIE
Other - Middle Name:
Other - Last Name:SCAFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC, NCC
Mailing Address - Street 1:301 E WASHINGTON ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27401-2993
Mailing Address - Country:US
Mailing Address - Phone:336-333-6860
Mailing Address - Fax:336-275-1187
Practice Address - Street 1:842 E PRITCHARD ST
Practice Address - Street 2:
Practice Address - City:ASHEBORO
Practice Address - State:NC
Practice Address - Zip Code:27203-4800
Practice Address - Country:US
Practice Address - Phone:336-633-7257
Practice Address - Fax:336-633-7203
Is Sole Proprietor?:No
Enumeration Date:2007-01-05
Last Update Date:2015-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1628101YA0400X
TX11624101YP2500X
NC7111101YP2500X
OHC0700929101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional