Provider Demographics
NPI:1255690152
Name:SEEKELY, GABRIELLE NEW (MED, LPC)
Entity Type:Individual
Prefix:MRS
First Name:GABRIELLE
Middle Name:NEW
Last Name:SEEKELY
Suffix:
Gender:F
Credentials:MED, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:908 TOWN AND COUNTRY BLVD
Mailing Address - Street 2:SUITE 130-D
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-2221
Mailing Address - Country:US
Mailing Address - Phone:713-822-0107
Mailing Address - Fax:866-237-2605
Practice Address - Street 1:908 TOWN AND COUNTRY BLVD
Practice Address - Street 2:SUITE 130-D
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-2221
Practice Address - Country:US
Practice Address - Phone:713-822-0107
Practice Address - Fax:866-237-2605
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-11
Last Update Date:2012-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15368101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional