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NPI Code Detail

MEDICARE: MRS. GABRIELA ANA PADILLA LPC

MEDICARE: MRS. GABRIELA ANA PADILLA LPC
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
1101YM0800XMental Health Counselor86796TX
2101YP2500XProfessional Counselor86796TX

General Provider Information

NPI Number : 1225738834
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. GABRIELA ANA PADILLA LPC
Provider Business Mailing Address
First Line : 905 W CANTEY ST
Second Line :
City : FT WORTH
State : TX
Zip : 76110-3205
Country : US
Telephone Number : 972-765-6573
Fax Number :
Provider Business Practice Location Address
First Line : 905 W CANTEY ST
Second Line :
City : FT WORTH
State : TX
Zip : 76110-3205
Country : US
Telephone Number : 972-765-6573
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2023
Last Update Date : 07/14/2025

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