Provider Demographics
NPI:1558819292
Name:TAYLOR, GABRIELLE E (LISW)
Entity type:Individual
Prefix:MRS
First Name:GABRIELLE
Middle Name:E
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:GABRIELLE
Other - Middle Name:E
Other - Last Name:HAGUE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:401 MATTHEW ST
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:OH
Mailing Address - Zip Code:45750-1635
Mailing Address - Country:US
Mailing Address - Phone:740-525-8977
Mailing Address - Fax:
Practice Address - Street 1:807 FARSON ST
Practice Address - Street 2:
Practice Address - City:BELPRE
Practice Address - State:OH
Practice Address - Zip Code:45714-1068
Practice Address - Country:US
Practice Address - Phone:740-423-3611
Practice Address - Fax:740-423-3602
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-12
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.23046261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical