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NPI Code Detail

MEDICARE: MRS. BRENDA GAIL GILMAN LPC

MEDICARE: MRS. BRENDA GAIL GILMAN LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor2283TN
2101YP2500XProfessional Counselor3172MS

General Provider Information

NPI Number : 1265700686
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BRENDA GAIL GILMAN LPC
Provider Business Mailing Address
First Line : 213 HENDERSON AVE
Second Line :
City : PASS CHRISTIAN
State : MS
Zip : 39571-4309
Country : US
Telephone Number : 228-300-8819
Fax Number :
Provider Business Practice Location Address
First Line : 213 HENDERSON AVE
Second Line :
City : PASS CHRISTIAN
State : MS
Zip : 39571-4309
Country : US
Telephone Number : 228-300-8819
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2011
Last Update Date : 02/11/2025

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Directions to “ MRS. BRENDA GAIL GILMAN LPC” Practice Location

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