| Doctor Name: | MS. GAYLE MARIE BREFFEILH |
| NPI Number: | 1407004500 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 4183 |
| Business Practice Address: | 243 Curtiss Rd Suite 100 Barksdale Afb, LA - 711102425 |
| Business Phone Number: | 3184566595 |
| Business Fax Number: | |
| Mailing Address: | 952 Gladstone Blvd, Apt B SHREVEPORT |
| State: | LA |
| Postal Code: | 711044204 |
| Phone Number: | 9857899128 |
| Fax Number: | |
| NPI Enumeration Date: | 09/03/2008 |
| NPI Last Update Date: | 11/12/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 4183 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |