Provider Demographics
NPI:1578546289
Name:GABLES COUNSELING AFFILIATES PLC
Entity Type:Organization
Organization Name:GABLES COUNSELING AFFILIATES PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:HOLT
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:305-807-9796
Mailing Address - Street 1:3692 SW 24TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33145
Mailing Address - Country:US
Mailing Address - Phone:305-807-9796
Mailing Address - Fax:305-441-1147
Practice Address - Street 1:3692 SW 24TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33145
Practice Address - Country:US
Practice Address - Phone:305-807-9796
Practice Address - Fax:305-441-1147
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-28
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty