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General NPI Number Information
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NPI Number | 1134097678
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Entity Type | Organization
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Legal Business Name | GABRIELLE GORIN MENTAL HEALTH COUNSELING LLC
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Dates
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Enumeration Date | 10/27/2025
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 100 S BROAD ST STE 623
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City | PHILADELPHIA
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State | PA
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Zip | 19110-1058
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Country | US
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Telephone | 305-495-4176
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Fax |
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Provider Business Mailing Address
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Address Line | 517 MCKEAN ST
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City | PHILADELPHIA
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State | PA
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Zip | 19148-2530
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Country | US
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Telephone | 305-495-4176
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | GABRIELLE EVE GORIN
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Credential | LPC
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Telephone | 305-495-4176
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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