Provider Demographics
NPI:1962236844
Name:SCHMIDT, GABRIELLE ALINE (LPC)
Entity type:Individual
Prefix:MRS
First Name:GABRIELLE
Middle Name:ALINE
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1803 STONE MANOR CIR
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:OH
Mailing Address - Zip Code:44212-4829
Mailing Address - Country:US
Mailing Address - Phone:330-861-9294
Mailing Address - Fax:
Practice Address - Street 1:15887 SNOW RD STE 301
Practice Address - Street 2:
Practice Address - City:BROOKPARK
Practice Address - State:OH
Practice Address - Zip Code:44142-2854
Practice Address - Country:US
Practice Address - Phone:216-236-4172
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-31
Last Update Date:2024-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.2406391101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor