Provider Demographics
NPI:1508608118
Name:EMERY, GAYLE STEM (LPC/MHSP)
Entity type:Individual
Prefix:MRS
First Name:GAYLE
Middle Name:STEM
Last Name:EMERY
Suffix:
Gender:F
Credentials:LPC/MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4435 SUNDAY SILENCE WAY
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37128-4358
Mailing Address - Country:US
Mailing Address - Phone:615-542-5046
Mailing Address - Fax:
Practice Address - Street 1:4435 SUNDAY SILENCE WAY
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37128-4358
Practice Address - Country:US
Practice Address - Phone:615-542-5046
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-12
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0770101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional