Ms. Gayle Elizabeth Crocker
School Counselor Mental Health Counselor
8620 Sw 12th St
Pembroke Pines
, Florida 33025-5323
Ms. Gayle Elizabeth Crocker
School Counselor Mental Health Counselor
8620 Sw 12th St
Pembroke Pines
, Florida 33025-5323
(954) 442-0447
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About
Features
Specialties
- Mental Health Counselor
- School Counselor
Languages spoken
- English
Location
First Address
- Ms. Gayle Elizabeth Crocker
- 8620 Sw 12th St
- Pembroke Pines, FL
- Zip : 33025-5323
- Phone : (954) 442-0447
Second Address
- Ms. Gayle Elizabeth Crocker
- 8620 Sw 12th St
- Pembroke Pines, FL
- Zip : 33025-5323
- Fax : (423) 822-5729
- Phone : (954) 588-3612
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Is Ms. Gayle Elizabeth Crocker a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 101YM0800X | Mental Health Counselor | IMH10399 | FL |
| Y | 101YM0800X | Mental Health Counselor | MH14010 | GA |
| N | 101YS0200X | School Counselor | 716753 | FL |
National Provider Identifier
| NPI | 1174874473 |
|---|---|
| Provider Name | Ms. Gayle Elizabeth Crocker |
| First Address | Pembroke Pines, FL 33025-5323 |
| Second Address | Pembroke Pines, FL 33025-5323 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/09/2012 |
| Last Update Date | 13/10/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.