Organization
GABRIEL PSYCHOLOGICAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAMIEKA GABRIEL PH.D. (OWNER/PSYCHOLOGIST)
(404) 579-6473
Entity
Organization
Contact information
Practice address
2791 MAIN ST, EAST POINT, GA 30344-6941
(678) 904-0965
(678) 904-0964
Mailing address
4371 PLEASANT POINT DR APT G, DECATUR, GA 30034-7013
(404) 579-6473
(678) 904-0964
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY002724
GA
103TC1900X
Counseling Psychologist
PSY002724
GA
103TC2200X
Clinical Child & Adolescent Psychologist
PSY002724
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10049656
AMERIGROUP
GA
01
—
101065
CENPATICO
GA
05
—
743365513B
—
GA
05
—
743365513D
—
GA
01
—
789824000
MAGELLAN
GA
Enumeration date
05/06/2008
Last updated
05/06/2008
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