Provider Demographics
NPI:1083598783
Name:LENOIR, GABRIELLE HILL (SSP, NCSP, LSSP)
Entity type:Individual
Prefix:MS
First Name:GABRIELLE
Middle Name:HILL
Last Name:LENOIR
Suffix:
Gender:F
Credentials:SSP, NCSP, LSSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 E IOWA AVE
Mailing Address - Street 2:
Mailing Address - City:HAMMOND
Mailing Address - State:LA
Mailing Address - Zip Code:70403-4570
Mailing Address - Country:US
Mailing Address - Phone:225-571-6455
Mailing Address - Fax:
Practice Address - Street 1:BASIS MATERRA
Practice Address - Street 2:7550 MCCALL DRIVE
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70817
Practice Address - Country:US
Practice Address - Phone:225-308-7450
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-05
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LALSSP52103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool