Provider Demographics
NPI:1225193733
Name:BLANPIED, GAIL LYNN (LPC)
Entity Type:Individual
Prefix:
First Name:GAIL
Middle Name:LYNN
Last Name:BLANPIED
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3621 AUSTIN ST
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411-1729
Mailing Address - Country:US
Mailing Address - Phone:361-549-3925
Mailing Address - Fax:
Practice Address - Street 1:3621 AUSTIN ST
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-1729
Practice Address - Country:US
Practice Address - Phone:361-549-3925
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-26
Last Update Date:2022-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1933LC101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX025615801Medicaid