Healthcare Provider Details

I. General information

NPI: 1053593293
Provider Name (Legal Business Name): NANCY GABRIEL-WILLIAMS LPC, LPCMH, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/29/2007
Last Update Date: 08/22/2026
Certification Date: 08/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 CAMELOT DR
MIDDLETOWN DE
19709-7526
US

IV. Provider business mailing address

1010 CAMELOT DR
MIDDLETOWN DE
19709-7526
US

V. Phone/Fax

Practice location:
  • Phone: 484-636-4987
  • Fax:
Mailing address:
  • Phone: 484-636-4987
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberPC-0011979
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: