Provider Demographics
NPI:1295438943
Name:GATLIN, ABBEY (LMSW)
Entity type:Individual
Prefix:
First Name:ABBEY
Middle Name:
Last Name:GATLIN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 PRIVATE ROAD 1201
Mailing Address - Street 2:
Mailing Address - City:NEW BROCKTON
Mailing Address - State:AL
Mailing Address - Zip Code:36351-7910
Mailing Address - Country:US
Mailing Address - Phone:334-330-0060
Mailing Address - Fax:
Practice Address - Street 1:39 PRIVATE ROAD 1201
Practice Address - Street 2:
Practice Address - City:NEW BROCKTON
Practice Address - State:AL
Practice Address - Zip Code:36351-7910
Practice Address - Country:US
Practice Address - Phone:334-330-0060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-22
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL5465G104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker