Provider Demographics
NPI:1265197602
Name:GABBYCARE OF SOUTH FLORIDA
Entity type:Organization
Organization Name:GABBYCARE OF SOUTH FLORIDA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GABRIELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:CAREY-JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LMHC
Authorized Official - Phone:786-501-6363
Mailing Address - Street 1:12000 BISCAYNE BLVD STE 702
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33181-2727
Mailing Address - Country:US
Mailing Address - Phone:786-490-5988
Mailing Address - Fax:305-402-5833
Practice Address - Street 1:12000 BISCAYNE BLVD STE 702
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33181-2727
Practice Address - Country:US
Practice Address - Phone:786-490-5988
Practice Address - Fax:305-402-5833
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-01
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty