Healthcare Provider Details

I. General information

NPI: 1386535086
Provider Name (Legal Business Name): GABRIELLE ELIZABETH WINSLETT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2025
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1714 A ST
LA PORTE IN
46350-5925
US

IV. Provider business mailing address

512 ANDREW AVE # 120
LA PORTE IN
46350-4633
US

V. Phone/Fax

Practice location:
  • Phone: 219-369-2341
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number3310994A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: