Provider Demographics
NPI:1134097678
Name:GABRIELLE GORIN MENTAL HEALTH COUNSELING LLC
Entity type:Organization
Organization Name:GABRIELLE GORIN MENTAL HEALTH COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GABRIELLE
Authorized Official - Middle Name:EVE
Authorized Official - Last Name:GORIN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:305-495-4176
Mailing Address - Street 1:517 MCKEAN ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19148-2530
Mailing Address - Country:US
Mailing Address - Phone:305-495-4176
Mailing Address - Fax:
Practice Address - Street 1:100 S BROAD ST STE 623
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19110-1058
Practice Address - Country:US
Practice Address - Phone:305-495-4176
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-27
Last Update Date:2025-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty