Healthcare Provider Details

I. General information

NPI: 1225780711
Provider Name (Legal Business Name): GABRIELA ABAD ACMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/25/2022
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

533 W STATE RD STE 101
PLEASANT GROVE UT
84062-2119
US

IV. Provider business mailing address

533 W STATE ST #101
SALT LAKE CITY UT
84106-2335
US

V. Phone/Fax

Practice location:
  • Phone: 801-709-0146
  • Fax:
Mailing address:
  • Phone: 801-709-0146
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number9165525-6009
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: