Provider Demographics
NPI:1457792327
Name:DOXIE, GAIL ANNE (LMHC)
Entity Type:Individual
Prefix:
First Name:GAIL
Middle Name:ANNE
Last Name:DOXIE
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5821 SUNNYSIDE LN
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33919-2511
Mailing Address - Country:US
Mailing Address - Phone:239-810-0636
Mailing Address - Fax:
Practice Address - Street 1:8359 BEACON BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33907-3048
Practice Address - Country:US
Practice Address - Phone:239-939-5504
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-08
Last Update Date:2013-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 11750101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health