MEDICARE: ERIC B. GABORIAULT LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	MHC00316	RI

General Provider Information

NPI Number	:	1316127426
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIC B. GABORIAULT LMHC

Provider Business Mailing Address
First Line	:	7 RIDGELAND RD
Second Line	:
City	:	SMITHFIELD
State	:	RI
Zip	:	02917-4041
Country	:	US
Telephone Number	:	401-527-1653
Fax Number	:	401-421-4608

Provider Business Practice Location Address
First Line	:	1006 CHARLES ST STE 5
Second Line	:
City	:	NORTH PROVIDENCE
State	:	RI
Zip	:	02904-5075
Country	:	US
Telephone Number	:	401-527-1653
Fax Number	:	401-421-4608

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/06/2007
Last Update Date	:	01/02/2025

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