Provider Demographics
NPI:1518683127
Name:GOVEA, GABRIELLE ACCURSO (LMFT-T)
Entity Type:Individual
Prefix:
First Name:GABRIELLE
Middle Name:ACCURSO
Last Name:GOVEA
Suffix:
Gender:F
Credentials:LMFT-T
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10550 MARTY ST STE 101
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66212-2561
Mailing Address - Country:US
Mailing Address - Phone:816-560-8020
Mailing Address - Fax:
Practice Address - Street 1:10550 MARTY ST STE 101
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66212-2561
Practice Address - Country:US
Practice Address - Phone:816-560-8020
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-14
Last Update Date:2022-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSLMFT03431-T106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist