Healthcare Provider Details

I. General information

NPI: 1740632298
Provider Name (Legal Business Name): GABRIELLE MARIA HERMAN LMHC-D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2016
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

P.O. BOX 1110, ACP 9348 GABRIELLE HERMAN
ALBANY NY
12201-1110
US

IV. Provider business mailing address

P.O. BOX 1110 GABRIELLE HERMAN, ACP 9348
ALBANY NY
12201-1110
US

V. Phone/Fax

Practice location:
  • Phone: 917-841-4132
  • Fax:
Mailing address:
  • Phone: 917-841-4132
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number009936
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: