GATEWAY MARRIAGE AND FAMILY THERAPY, LLC (NPI# 1003209479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003209479 |
Entity Type | Organization |
Organization Name | GATEWAY MARRIAGE AND FAMILY THERAPY, LLC |
Other Organization Name | GATEWAY MFT, LLC |
Practice Address |
690 E Warner Rd Bldg 10, Ste# 152 Gilbert AZ 85296-3054 |
Practice Telephone | 4804207061 |
Mailing Telephone | 4804207061 |
Enumeration Date | 2015-03-10 |
Last Update Date | 2015-03-10 |
Authorized Official Name | CALLEEN ANTOINETTE MORRIS (CLINICAL SUPERVISOR) |
Authorized Official Telephone | 4802684327 |
Authorized Official Credential | MAS-MFT, LMFT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 106H00000X | Marriage & Family Therapist | LMFT-10408 | AZ | Behavioral Health & Social Service Providers |
Other Name | Type Code |
---|---|
Gateway MFT, LLC | Doing Business As Name - Organization |
Street Address |
690 E WARNER RD BLDG 10, STE# 152 |
City | GILBERT |
State | AZ |
Zip Code | 85296-3054 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689737421 | Jacqulyn Breckow | Speech-Language Pathologist | 690 E Warner Rd, Suite #105, Gilbert, AZ 85296-3054 | 2006-12-19 |
1497386809 | Rima N Mehta | Occupational Therapy Assistant | 690 E Warner Rd, Gilbert, AZ 85296-3054 | 2020-02-04 |
1245791037 | Sarah Smidstra | Counselor | 690 E Warner Rd, Gilbert, AZ 85296-3054 | 2019-03-26 |
1346786753 | Allison Dukat | Counselor | 690 E Warner Rd, Suite 115, Gilbert, AZ 85296-3054 | 2017-01-09 |
1336527845 | Lifespan Healthcare | Clinic/Center | 690 E Warner Rd, 112, Gilbert, AZ 85296-3054 | 2015-05-16 |
1982028536 | Josh Adams | Counselor | 690 E Warner Rd, Suite 115, Gilbert, AZ 85296-3054 | 2014-02-18 |
1689939043 | Dorianne Lee Schubring | Physical Therapist | 690 E Warner Rd, Gilbert, AZ 85296-3054 | 2012-07-11 |
1245521053 | Total Life Counseling Pllc | Counselor | 690 E Warner Rd, Suite 115, Gilbert, AZ 85296-3054 | 2011-04-27 |
1356655070 | Debra Harris | Specialist/Technologist | 690 E Warner Rd, Suite14, Gilbert, AZ 85296-3054 | 2010-08-05 |
1679752984 | Allison Michele Jones | Speech-Language Pathologist | 690 E Warner Rd, 105, Gilbert, AZ 85296-3054 | 2007-11-02 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124625793 | Gilbert Crossroads Kids' Dentists and Orthodontics, LLP | Dentist | 835 S. Gilbert Rd, Suite 104, Gilbert, AZ 85296 | 2020-10-06 |
1306455969 | Calm Care Living | Community/Behavioral Health | 1525 S Higley Rd, #104-6769, Gilbert, AZ 85296 | 2020-07-29 |
1366080970 | Hannah Golladay | Behavior Technician | 1166 S Gilbert Road, Suite 106, Mesa, AZ 85296 | 2019-12-13 |
1194284729 | Kege Health, LLC | Nurse Practitioner | 1206 E Warner Rd Ste 101f, Gilbert, AZ 85296 | 2019-03-13 |
1841757762 | Windhorse Counseling | Counselor | 1166 E Warner Road, Suite 203, Gilbert, AZ 85296 | 2019-02-27 |
1417424284 | Ashton N Wright | Behavior Technician | 1166 E Gilbert Rd, #106, Gilbert, AZ 85296 | 2018-10-30 |
1346717246 | Robison Orthodontics LLC | Dentist | 1355 S Higley Rd # 105, Gilbert, AZ 85296 | 2018-10-29 |
1518441831 | Kara Lyn Holyoak | Physician Assistant | 1359 S. Porter St., Gilbert, AZ 85296 | 2018-09-21 |
1225519119 | Jennifer Anne Goodman | Specialist/Technologist | 70 S Val Vista Dr A3, Gilbert, AZ 85296 | 2018-08-28 |
1437642329 | Greta Shumway | Counselor | 690 E. Warner Road, #115, Gilbert, AZ 85296 | 2018-06-14 |
Find all providers in zip 85296 |
Taxonomy Code | 106H00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Marriage & Family Therapist |
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861022642 | Michele Lalicata | Marriage & Family Therapist | 2899 E Fandango Dr, Gilbert, AZ 85298-8769 | 2020-01-22 |
1801431325 | Tino Silva | Marriage & Family Therapist | 3774 E Shannon St, Gilbert, AZ 85295-4806 | 2019-11-07 |
1629630868 | Bethsabe M Amador | Marriage & Family Therapist | 1166 E Warner Rd Ste 101-c, Gilbert, AZ 85296-3080 | 2019-07-08 |
1700373875 | Chanell Clark | Marriage & Family Therapist | 1176 E Warner Rd Ste 111, Gilbert, AZ 85296-3068 | 2018-04-15 |
1285162248 | Courtney Lynn Brenner | Marriage & Family Therapist | 690 E Warner Rd Ste 152, Gilbert, AZ 85296-3059 | 2017-06-02 |
1700311198 | Deanna Moor | Marriage & Family Therapist | 2200 E Williams Fld Rd, Gilbert, AZ 85295-0761 | 2017-04-24 |
1982155503 | Sheli K Jensen | Marriage & Family Therapist | 7400 S. Power Road, Suite 116, Gilbert, AZ 85297 | 2016-10-19 |
1346643335 | Jessica Pearl Conlon | Marriage & Family Therapist | 1176 E Warner Rd Suite 111, Gilbert, AZ 85296 | 2014-10-03 |
1629488085 | Brenda Jayne Dolan Fragosa | Marriage & Family Therapist | 1176 E Warner Rd, Suite 111a, Gilbert, AZ 85296-3067 | 2014-05-06 |
1184067811 | Valarie Ann Williams-siler | Marriage & Family Therapist | 625 N Gilbert Rd Ste 204, Gilbert, AZ 85234-4724 | 2013-04-11 |
Find all providers in GILBERT |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.