Provider Demographics
NPI:1972074052
Name:CANGELOSI-CARPENTER, GABRIELLE NICOLE (LPC)
Entity type:Individual
Prefix:MRS
First Name:GABRIELLE
Middle Name:NICOLE
Last Name:CANGELOSI-CARPENTER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MISS
Other - First Name:GABRIELLE
Other - Middle Name:NICOLE
Other - Last Name:CANGELOSI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PLPC
Mailing Address - Street 1:44 VERSAILLES BLVD
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71303-3960
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:44 VERSAILLES BLVD
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71303-3960
Practice Address - Country:US
Practice Address - Phone:318-445-5111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-16
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LALPC6992101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health