Provider Demographics
NPI:1518043785
Name:ARDMAN, GAIL (MSSW)
Entity Type:Individual
Prefix:MS
First Name:GAIL
Middle Name:
Last Name:ARDMAN
Suffix:
Gender:F
Credentials:MSSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3220 PEBBLE BEACH DRIVE
Mailing Address - Street 2:
Mailing Address - City:FARMERS BRANCH
Mailing Address - State:TX
Mailing Address - Zip Code:75234-2215
Mailing Address - Country:US
Mailing Address - Phone:972-406-0026
Mailing Address - Fax:972-620-9904
Practice Address - Street 1:3220 PEBBLE BEACH DRIVE
Practice Address - Street 2:
Practice Address - City:FARMERS BRANCH
Practice Address - State:TX
Practice Address - Zip Code:75234-2215
Practice Address - Country:US
Practice Address - Phone:972-406-0026
Practice Address - Fax:972-620-9904
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXLCDC 2828101YA0400X
TX163021041C0700X
TXLMFT 002871106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0075JNOtherBCBS PIN #
TX489498OtherVALUE OPTIONS PIN #
TX7082377OtherAETNA PIN #