Provider Demographics
NPI:1235947946
Name:CARRIGAN, GABRIELLA ELENA (MS, PHD)
Entity type:Individual
Prefix:DR
First Name:GABRIELLA
Middle Name:ELENA
Last Name:CARRIGAN
Suffix:
Gender:F
Credentials:MS, PHD
Other - Prefix:
Other - First Name:GABRIELLA
Other - Middle Name:ELENA
Other - Last Name:PULEO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, PHD
Mailing Address - Street 1:1210 MILENNIUM PKWY STE 1037
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511-4861
Mailing Address - Country:US
Mailing Address - Phone:813-702-1257
Mailing Address - Fax:
Practice Address - Street 1:1210 MILLENNIUM PKWY STE 1037
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-4861
Practice Address - Country:US
Practice Address - Phone:813-702-1257
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-27
Last Update Date:2024-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH26699101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health