Provider Demographics
NPI:1699783902
Name:MCADOO, GAYLE A
Entity type:Individual
Prefix:MRS
First Name:GAYLE
Middle Name:A
Last Name:MCADOO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16821 BUCCANEER LN
Mailing Address - Street 2:SUITE 119
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77058-2544
Mailing Address - Country:US
Mailing Address - Phone:281-280-8641
Mailing Address - Fax:281-488-2104
Practice Address - Street 1:16821 BUCCANEER LN
Practice Address - Street 2:SUITE 119
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058-2544
Practice Address - Country:US
Practice Address - Phone:281-280-8641
Practice Address - Fax:281-488-2104
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-03
Last Update Date:2020-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX556101YA0400X
TX261101YP2500X
TX307106H00000X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist