Provider Demographics
NPI:1609682087
Name:KEATH, GABRIELLE SWEET-SANDERS (LMFTA)
Entity type:Individual
Prefix:
First Name:GABRIELLE
Middle Name:SWEET-SANDERS
Last Name:KEATH
Suffix:
Gender:F
Credentials:LMFTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 RAVENSCROFT DR STE 102
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-3683
Mailing Address - Country:US
Mailing Address - Phone:828-827-7239
Mailing Address - Fax:
Practice Address - Street 1:5 RAVENSCROFT DR STE 102
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-3683
Practice Address - Country:US
Practice Address - Phone:828-827-7239
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-10
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC20111A106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist