Provider Demographics
NPI:1679955827
Name:GARIBAY, GABRIELA ELIZABETH
Entity type:Individual
Prefix:
First Name:GABRIELA
Middle Name:ELIZABETH
Last Name:GARIBAY
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 1:775 CORNELL AVE STE A-1
Mailing Address - Street 2:
Mailing Address - City:LOVELOCK
Mailing Address - State:NV
Mailing Address - Zip Code:89419-8047
Mailing Address - Country:US
Mailing Address - Phone:775-273-1036
Mailing Address - Fax:775-273-1109
Practice Address - Street 1:775 CORNELL AVE STE A-1
Practice Address - Street 2:
Practice Address - City:LOVELOCK
Practice Address - State:NV
Practice Address - Zip Code:89419-8047
Practice Address - Country:US
Practice Address - Phone:775-273-1036
Practice Address - Fax:775-273-1109
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-24
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV301QMHA101Y00000X
171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101Y00000XBehavioral Health & Social Service ProvidersCounselor