Provider Demographics
NPI:1497521140
Name:BRAGA, GABRIELE DE ARAUJO (IMH24616)
Entity Type:Individual
Prefix:
First Name:GABRIELE
Middle Name:DE ARAUJO
Last Name:BRAGA
Suffix:
Gender:F
Credentials:IMH24616
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20283 STATE ROAD 7 STE 211
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33498-6903
Mailing Address - Country:US
Mailing Address - Phone:561-571-9444
Mailing Address - Fax:
Practice Address - Street 1:20283 STATE ROAD 7 STE 211
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33498-6903
Practice Address - Country:US
Practice Address - Phone:561-571-9444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-04
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH24616101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health