Provider Demographics
NPI:1770647067
Name:MESSENGER, GAIL (LMHC)
Entity type:Individual
Prefix:
First Name:GAIL
Middle Name:
Last Name:MESSENGER
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 1:19 HILL ST
Mailing Address - Street 2:
Mailing Address - City:GOSHEN
Mailing Address - State:NY
Mailing Address - Zip Code:10924-2113
Mailing Address - Country:US
Mailing Address - Phone:845-294-0889
Mailing Address - Fax:845-294-0889
Practice Address - Street 1:19 HILL ST
Practice Address - Street 2:
Practice Address - City:GOSHEN
Practice Address - State:NY
Practice Address - Zip Code:10924-2113
Practice Address - Country:US
Practice Address - Phone:845-294-0889
Practice Address - Fax:845-294-0889
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000066101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health