| Doctor Name: | ELENI N. GAGE |
| NPI Number: | 1013053164 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | C0005048 |
| Business Practice Address: | 611 Belmont Ave Youngstown, OH - 445021037 |
| Business Phone Number: | 3307442991 |
| Business Fax Number: | 3307442971 |
| Mailing Address: | 615 Maplewood Ave, STRUTHERS |
| State: | OH |
| Postal Code: | 444711136 |
| Phone Number: | 3307509373 |
| Fax Number: | |
| NPI Enumeration Date: | 01/29/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | C0005048 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |