Healthcare Provider Details

I. General information

NPI: 1063343382
Provider Name (Legal Business Name): GISELLE BARRERA LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

114 SWAN PKWY W
ROYAL PALM BEACH FL
33411-2926
US

IV. Provider business mailing address

114 SWAN PKWY W
ROYAL PALM BEACH FL
33411-2926
US

V. Phone/Fax

Practice location:
  • Phone: 858-925-4744
  • Fax:
Mailing address:
  • Phone: 858-925-4744
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH27771
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: