Provider Demographics
NPI:1235668237
Name:ABRIEL, GWENEVERE E (LMFT)
Entity Type:Individual
Prefix:
First Name:GWENEVERE
Middle Name:E
Last Name:ABRIEL
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5033 NW 100TH TER
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33076-2416
Mailing Address - Country:US
Mailing Address - Phone:954-240-0884
Mailing Address - Fax:
Practice Address - Street 1:5033 NW 100TH TER
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33076-2416
Practice Address - Country:US
Practice Address - Phone:954-240-0884
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT1845106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist