Healthcare Provider Details

I. General information

NPI: 1194172163
Provider Name (Legal Business Name): GABLES COUNSELING INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2016
Last Update Date: 05/19/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 ALHAMBRA CIR STE 1220
CORAL GABLES FL
33134-4535
US

IV. Provider business mailing address

150 ALHAMBRA CIR STE 1220
CORAL GABLES FL
33134-4535
US

V. Phone/Fax

Practice location:
  • Phone: 305-450-1454
  • Fax:
Mailing address:
  • Phone: 305-450-1454
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. LYNETTE LORENZEN
Title or Position: PRESIDENT
Credential: ED.D. LMHC
Phone: 305-450-1454