Provider Demographics
NPI:1558033183
Name:GAIG, VALERIA (PMH1772)
Entity Type:Individual
Prefix:
First Name:VALERIA
Middle Name:
Last Name:GAIG
Suffix:
Gender:F
Credentials:PMH1772
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 STONEMONT DR
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33326-3500
Mailing Address - Country:US
Mailing Address - Phone:305-988-1296
Mailing Address - Fax:
Practice Address - Street 1:410 STONEMONT DR
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33326-3500
Practice Address - Country:US
Practice Address - Phone:305-988-1296
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-01
Last Update Date:2021-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPMH1772101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health