Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Gabrielle M Shaw, PBT

Individual provider Mental Health Counselor · NPI 1316692692

Gabrielle M Shaw, PBT is a Mental Health Counselor in Gary, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2022
Specialties on file
6
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Practice location Address checks out

4795 Broadway Ste D
Gary, IN 46409-2403
Phone: (219) 779-5939
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X (IN)
Mental Health Counselor Taxonomy 101YM0800X (IN)
Case Manager/Care Coordinator Taxonomy 171M00000X (IN)
Medical Laboratory Technician Taxonomy 246RM2200X (IN)
Phlebotomy Technician Taxonomy 246RP1900X · Licence 60512 (IN)
Case Management Agency Taxonomy 251B00000X (IN)

Record details

NPI number1316692692
Entity typeIndividual (Type 1)
GenderFemale
Credentials PBT
Sole proprietorYes
NPI enumeratedFebruary 15, 2022
Last updated in NPPESMarch 28, 2022
Certification dateMarch 28, 2022

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