Basic Information
| Provider Information | |||||||||
| NPI: | 1861401770 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | GILBERT | ||||||||
| FirstName: | DARLA | ||||||||
| MiddleName: | J | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | PHD, LPC, LMFT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5501C JOHN ESKEW BLVD | ||||||||
| Address2: | |||||||||
| City: | ALEXANDRIA | ||||||||
| State: | LA | ||||||||
| PostalCode: | 713033725 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3184498571 | ||||||||
| FaxNumber: | 3184498506 | ||||||||
| Practice Location | |||||||||
| Address1: | 1403 METRO DR STE G | ||||||||
| Address2: | |||||||||
| City: | ALEXANDRIA | ||||||||
| State: | LA | ||||||||
| PostalCode: | 71301 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3187040640 | ||||||||
| FaxNumber: | 3187040642 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/07/2006 | ||||||||
| LastUpdateDate: | 09/19/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 106H00000X | 569 | LA | Y | Behavioral Health & Social Service Providers | Marriage & Family Therapist | 101YM0800X | 2260 | LA | N | Behavioral Health & Social Service Providers | Counselor | Mental Health |
ID Information
| ID | Type | State | Issuer | Description | 2260 | 01 | LA | LPC | OTHER | 569 | 01 | LA | LMFT | OTHER |