Healthcare Provider Details

I. General information

NPI: 1538927215
Provider Name (Legal Business Name): VERONICA GILBERT MS, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/07/2024
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3707 E SOUTHERN AVE
MESA AZ
85206-2569
US

IV. Provider business mailing address

2269 E HAZELTINE WAY
GILBERT AZ
85298-7477
US

V. Phone/Fax

Practice location:
  • Phone: 480-630-4942
  • Fax:
Mailing address:
  • Phone: 480-993-4613
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC-22717
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC-22717
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: