Provider Demographics
NPI:1528674215
Name:GABRIEL, TAYLOR ANN (MA, LCMHC, NCC)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:ANN
Last Name:GABRIEL
Suffix:
Gender:F
Credentials:MA, LCMHC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:417 EDWARD ST
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27701-2313
Mailing Address - Country:US
Mailing Address - Phone:281-543-0924
Mailing Address - Fax:
Practice Address - Street 1:417 EDWARD ST
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27701-2313
Practice Address - Country:US
Practice Address - Phone:281-543-0924
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-18
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC15855101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health