Provider Demographics
NPI:1770466526
Name:GABLE, HIEDI (LPC)
Entity type:Individual
Prefix:
First Name:HIEDI
Middle Name:
Last Name:GABLE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2140 W THUNDERBIRD RD APT 821
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85023-6016
Mailing Address - Country:US
Mailing Address - Phone:602-580-6549
Mailing Address - Fax:
Practice Address - Street 1:10000 N 31ST AVE STE C100-134
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85051-1395
Practice Address - Country:US
Practice Address - Phone:608-935-0206
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-29
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-24096101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty