Provider Demographics
NPI:1023658051
Name:GABRIEL, EMALEE ARDEN (LMFT)
Entity type:Individual
Prefix:
First Name:EMALEE
Middle Name:ARDEN
Last Name:GABRIEL
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1111 N WEST SHORE BLVD STE 213
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-4711
Mailing Address - Country:US
Mailing Address - Phone:813-485-1855
Mailing Address - Fax:
Practice Address - Street 1:1111 N WEST SHORE BLVD STE 213
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-4711
Practice Address - Country:US
Practice Address - Phone:813-485-1855
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-07
Last Update Date:2022-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
FLMT4405106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health