MEDICARE: GABRIELLE SAMUELS MARRIAGE & FAMILY THERAPY INC.

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	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1942905419
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GABRIELLE SAMUELS MARRIAGE & FAMILY THERAPY INC.

Provider Business Mailing Address
First Line	:	11846 VENTURA BLVD STE 204
Second Line	:
City	:	STUDIO CITY
State	:	CA
Zip	:	91604-2620
Country	:	US
Telephone Number	:	323-807-2870
Fax Number	:

Provider Business Practice Location Address
First Line	:	11846 VENTURA BLVD STE 204
Second Line	:
City	:	STUDIO CITY
State	:	CA
Zip	:	91604-2620
Country	:	US
Telephone Number	:	323-807-2870
Fax Number	:

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	MS. GABRIELLE B SAMUELS
Credential	:	LMFT
Telephone Number	:	323-807-2870

Provider Enumeration Date	:	04/03/2023
Last Update Date	:	01/26/2026

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