MEDICARE: GABRIELLE MARIE RABELO LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor
2	101YM0800X	Mental Health Counselor	MH17557	FL

General Provider Information

NPI Number	:	1083131171
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GABRIELLE MARIE RABELO LMHC

Provider Business Mailing Address
First Line	:	7369 SW 82ND ST APT 3
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33143-7414
Country	:	US
Telephone Number	:	786-546-1269
Fax Number	:

Provider Business Practice Location Address
First Line	:	7369 SW 82ND ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33143-7479
Country	:	US
Telephone Number	:	786-546-1269
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/29/2017
Last Update Date	:	05/29/2024

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