Provider Demographics
NPI:1124328836
Name:RIBAKOFF, GALIT (MS, LPC, NCC)
Entity type:Individual
Prefix:
First Name:GALIT
Middle Name:
Last Name:RIBAKOFF
Suffix:
Gender:F
Credentials:MS, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6524 GENSTAR LN
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75252-5406
Mailing Address - Country:US
Mailing Address - Phone:469-499-4597
Mailing Address - Fax:
Practice Address - Street 1:17304 PRESTON RD STE 800
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75252-5645
Practice Address - Country:US
Practice Address - Phone:469-499-4597
Practice Address - Fax:469-252-7498
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-27
Last Update Date:2011-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX65001101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional