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General NPI Number Information
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NPI Number | 1336134121
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Entity Type | Individual
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Provider Name | KAMIEKA O. S. GABRIEL PH.D.
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Gender | Female
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Dates
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Enumeration Date | 09/17/2005
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2791 MAIN ST
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City | EAST POINT
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State | GA
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Zip | 30344-6941
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Country | US
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Telephone | 678-904-0965
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Fax | 678-904-0964
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Provider Business Mailing Address
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Address Line | 4371 PLEASANT POINT DR APT G
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City | DECATUR
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State | GA
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Zip | 30034-7013
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Country | US
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Telephone | 404-579-6473
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Fax | 678-904-0964
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | PSY002724
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | PSY002724
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY002724
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License Number State | GA
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