Provider Demographics
NPI:1881115079
Name:GABRIS, HAILI (MA LPC)
Entity type:Individual
Prefix:
First Name:HAILI
Middle Name:
Last Name:GABRIS
Suffix:
Gender:F
Credentials:MA LPC
Other - Prefix:
Other - First Name:HAILI
Other - Middle Name:
Other - Last Name:SCHNEIDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5757 ROCKY RD
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49004-9173
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:524 E MILHAM AVE STE B
Practice Address - Street 2:
Practice Address - City:PORTAGE
Practice Address - State:MI
Practice Address - Zip Code:49002-1473
Practice Address - Country:US
Practice Address - Phone:269-264-5053
Practice Address - Fax:616-552-1619
Is Sole Proprietor?:No
Enumeration Date:2017-06-28
Last Update Date:2021-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401018971101YP2500X
MI6301016495103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling