Provider Demographics
NPI:1104151810
Name:SADLER, GAYLE (LMHC)
Entity type:Individual
Prefix:MS
First Name:GAYLE
Middle Name:
Last Name:SADLER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:MRS
Other - First Name:G
Other - Middle Name:
Other - Last Name:SADLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMHC
Mailing Address - Street 1:3421 DAKOTA ST NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87110-2115
Mailing Address - Country:US
Mailing Address - Phone:505-883-6999
Mailing Address - Fax:
Practice Address - Street 1:6000 ISLETA BLVD SW
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87105-6658
Practice Address - Country:US
Practice Address - Phone:505-873-2761
Practice Address - Fax:505-873-2819
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-14
Last Update Date:2009-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM0101771101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health