Provider Demographics
NPI:1265113237
Name:GALE COMMUNITY SERVICES L.L.C.
Entity type:Organization
Organization Name:GALE COMMUNITY SERVICES L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST/CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AMBER
Authorized Official - Middle Name:
Authorized Official - Last Name:POPOVITZ-GALE
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:402-369-4835
Mailing Address - Street 1:6100 LAKE ELLENOR DRIVE
Mailing Address - Street 2:STE 151 #1271
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32809
Mailing Address - Country:US
Mailing Address - Phone:863-581-6556
Mailing Address - Fax:
Practice Address - Street 1:2454 E MICHIGAN ST STE 110
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-5059
Practice Address - Country:US
Practice Address - Phone:863-591-6556
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-31
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty