Provider Demographics
NPI:1750850236
Name:SCOTT, GABRIELLE ELENI (LGPC)
Entity type:Individual
Prefix:
First Name:GABRIELLE
Middle Name:ELENI
Last Name:SCOTT
Suffix:
Gender:F
Credentials:LGPC
Other - Prefix:
Other - First Name:GABRIELLE
Other - Middle Name:ELENI
Other - Last Name:HANDWERK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4623 FALLS RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21209-4914
Mailing Address - Country:US
Mailing Address - Phone:410-366-1980
Mailing Address - Fax:410-366-8530
Practice Address - Street 1:44 E GORDON ST
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21014-2916
Practice Address - Country:US
Practice Address - Phone:410-838-9000
Practice Address - Fax:410-838-8953
Is Sole Proprietor?:No
Enumeration Date:2018-11-14
Last Update Date:2020-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGP7596101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional