Provider Demographics
NPI:1154744886
Name:MELLO MUNIZ, GABRIELA (LMHC)
Entity type:Individual
Prefix:
First Name:GABRIELA
Middle Name:
Last Name:MELLO MUNIZ
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:GABRIELA
Other - Middle Name:
Other - Last Name:DEMELLO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1R NEWBURY ST STE 401
Mailing Address - Street 2:
Mailing Address - City:PEABODY
Mailing Address - State:MA
Mailing Address - Zip Code:01960-3816
Mailing Address - Country:US
Mailing Address - Phone:781-420-9953
Mailing Address - Fax:
Practice Address - Street 1:1R NEWBURY ST STE 401
Practice Address - Street 2:
Practice Address - City:PEABODY
Practice Address - State:MA
Practice Address - Zip Code:01960-3816
Practice Address - Country:US
Practice Address - Phone:781-420-9953
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-01-31
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X, 103K00000X
MA10412101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst