Provider Demographics
NPI:1902810195
Name:GILBERT, JAMES P (PHD, LPC, LMFT)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:P
Last Name:GILBERT
Suffix:
Gender:M
Credentials:PHD, LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5501C JOHN ESKEW BLVD
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71303-3725
Mailing Address - Country:US
Mailing Address - Phone:318-449-8571
Mailing Address - Fax:318-449-8506
Practice Address - Street 1:5501C JOHN ESKEW BLVD
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71303-3725
Practice Address - Country:US
Practice Address - Phone:318-449-8571
Practice Address - Fax:318-449-8506
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2786101YM0800X
LA302106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2786OtherLPC
LA302OtherLMFT