Mrs Mary Louise Lara Gabriel, LMHC, SCHOOL PSYCHOL is a
Counselor - Mental Health based in Middle Village, New York. Mrs Mary Louise Lara Gabriel is licensed to practice in New York (license number 000482-1) and her current practice location is
6350 Pleasantview St, Middle Village, New York. She can be reached at her office (for appointments etc.) via phone at
(917) 604-5592.
NPI number for Mrs Mary Louise Lara Gabriel is 1063770998 and her current mailing address is 6350 Pleasantview St, Middle Village, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063770998.
Healthcare Provider's Profile
Full Name | Mrs Mary Louise Lara Gabriel |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 6350 Pleasantview St, Middle Village, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1063770998
- Provider Enumeration Date: 04/28/2012
- Last Update Date: 02/12/2024
Medical Identifiers
Medical identifiers for Mrs Mary Louise Lara Gabriel such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063770998 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TS0200X | Psychologist - School | CONTROL # 96572001 (New York) | Secondary |
101YM0800X | Counselor - Mental Health | 000482-1 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Mary Louise Lara Gabriel is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Mary Louise Lara Gabriel, LMHC, SCHOOL PSYCHOL 6350 Pleasantview St, Middle Village, NY 11379-1844 Ph: (917) 604-5592 | Mrs Mary Louise Lara Gabriel, LMHC, SCHOOL PSYCHOL 6350 Pleasantview St, Middle Village, NY 11379-1844 Ph: (917) 604-5592 |
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