Provider Demographics
NPI:1982570602
Name:HARRIS-DALE, GILLIAN (MCAP)
Entity type:Individual
Prefix:DR
First Name:GILLIAN
Middle Name:
Last Name:HARRIS-DALE
Suffix:
Gender:F
Credentials:MCAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 772402
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34477-2402
Mailing Address - Country:US
Mailing Address - Phone:352-673-2271
Mailing Address - Fax:
Practice Address - Street 1:6447 SW 117TH STREET RD
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34476-9620
Practice Address - Country:US
Practice Address - Phone:352-673-2271
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-13
Last Update Date:2025-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMCAP.0101206101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)