Healthcare Provider Details

I. General information

NPI: 1508665217
Provider Name (Legal Business Name): GABRIELA MARIA BETTAGLIO RMFTI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/13/2025
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

722 YORKLYN RD STE 400
HOCKESSIN DE
19707-8740
US

IV. Provider business mailing address

219 N KING ST UNIT 116
WILMINGTON DE
19801-2569
US

V. Phone/Fax

Practice location:
  • Phone: 302-235-3398
  • Fax: 302-543-2029
Mailing address:
  • Phone: 484-432-0972
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberFT-0010173
License Number StateDE
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number3975
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMT5325
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: