MEDICARE: GROW WITH GABI

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

General Provider Information

NPI Number	:	1699536037
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GROW WITH GABI

Provider Business Mailing Address
First Line	:	2500 E TC JESTER BLVD STE 272
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77008-1449
Country	:	US
Telephone Number	:	832-800-3952
Fax Number	:	346-426-8105

Provider Business Practice Location Address
First Line	:	2500 E TC JESTER BLVD STE 272
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77008-1449
Country	:	US
Telephone Number	:	832-800-3952
Fax Number	:	346-426-8105

Authorized Official
Title or Position	:	OWNER
Name	:	GABRIELLA MAHAN
Credential	:	LPC
Telephone Number	:	328-003-9528

Provider Enumeration Date	:	01/22/2024
Last Update Date	:	01/22/2024

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Directions to “GROW WITH GABI ” Practice Location

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