Provider Demographics
NPI:1184700403
Name:GILBERT-ELIOT, TRUDY (LMFT)
Entity type:Individual
Prefix:
First Name:TRUDY
Middle Name:
Last Name:GILBERT-ELIOT
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 1:8766 S MARYLAND PKWY STE 105
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89123-6701
Mailing Address - Country:US
Mailing Address - Phone:775-772-9017
Mailing Address - Fax:775-313-9773
Practice Address - Street 1:8766 S MARYLAND PKWY STE 105
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89123-6701
Practice Address - Country:US
Practice Address - Phone:775-772-9017
Practice Address - Fax:775-313-9773
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-29
Last Update Date:2021-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV00336-LC101YA0400X
NV0828106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)