=====================================================
General NPI Number Information
=====================================================
NPI Number | 1760512107
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | GABRIELA MARIA RAURELL LMHC
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/06/2007
-----------------------------------------------------
Last Update Date | 07/08/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7392 NW 35TH TER 201 AND 202
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33122-1271
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 786-271-2651
-----------------------------------------------------
Fax | 305-597-9495
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7392 NW 35TH TER 201 AND 202
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33122-1271
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 786-271-2651
-----------------------------------------------------
Fax | 305-597-9495
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number | MH5230
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------