Provider Demographics
NPI:1700369774
Name:BREHIO, GABRIELLA (MS LMFT)
Entity Type:Individual
Prefix:
First Name:GABRIELLA
Middle Name:
Last Name:BREHIO
Suffix:
Gender:F
Credentials:MS LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 MANISTEE ST
Mailing Address - Street 2:
Mailing Address - City:PAWTUCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02861-4009
Mailing Address - Country:US
Mailing Address - Phone:401-304-5880
Mailing Address - Fax:
Practice Address - Street 1:15 MANISTEE ST
Practice Address - Street 2:
Practice Address - City:PAWTUCKET
Practice Address - State:RI
Practice Address - Zip Code:02861-4009
Practice Address - Country:US
Practice Address - Phone:401-304-5880
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-14
Last Update Date:2018-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMFT00183106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist