Provider Demographics
NPI:1811643158
Name:GATES, NAELA (LMFT)
Entity type:Individual
Prefix:
First Name:NAELA
Middle Name:
Last Name:GATES
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:NAELA
Other - Middle Name:ZHANTAL
Other - Last Name:GATES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NAELA Z GATES, LMFT
Mailing Address - Street 1:2113 LIME ST APT B3
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96826-4134
Mailing Address - Country:US
Mailing Address - Phone:510-690-4719
Mailing Address - Fax:
Practice Address - Street 1:2113 LIME ST APT B3
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96826-4134
Practice Address - Country:US
Practice Address - Phone:510-690-4719
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-24
Last Update Date:2022-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI764106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty