Provider Demographics
NPI:1568763316
Name:GATE CITY MENTAL HEALTH
Entity Type:Organization
Organization Name:GATE CITY MENTAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:
Authorized Official - Last Name:CRAIL
Authorized Official - Suffix:
Authorized Official - Credentials:LCMHC
Authorized Official - Phone:603-882-3786
Mailing Address - Street 1:71 SPIT BROOK RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03060-5636
Mailing Address - Country:US
Mailing Address - Phone:603-882-3786
Mailing Address - Fax:866-591-9553
Practice Address - Street 1:71 SPIT BROOK RD
Practice Address - Street 2:SUITE 102
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060-5636
Practice Address - Country:US
Practice Address - Phone:603-882-3786
Practice Address - Fax:866-591-9553
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-10
Last Update Date:2010-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH614OtherLICENSE
NH620OtherLICENSE