{
"Npi": {
"NPI": "1437826062",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "DEPARIS-HALE",
"FirstName": "GABRIELLE",
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": "MS, LPC, NCC",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "DEPARIS",
"OtherFirstName": "GABRIELLE",
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "4801 W MCEACHERN WOODS DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "POWDER SPRINGS",
"MailingAddressStateName": "GA",
"MailingAddressPostalCode": "30127-1256",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "551-795-5863",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "50 GLENLAKE PKWY STE 120",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ATLANTA",
"PracticeLocationAddressStateName": "GA",
"PracticeLocationAddressPostalCode": "30328-7270",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "800-736-3739",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "08/23/2021",
"LastUpdateDate": "07/11/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "101YP2500X",
"TaxonomyName": "Professional Counselor",
"LicenseNumber": "LPC015846",
"LicenseNumberStateCode": "GA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}