MEDICARE: JOY MICHELLE GILMAN

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
1	101Y00000X	Counselor	2026016185	MO

General Provider Information

NPI Number	:	1477488302
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOY MICHELLE GILMAN

Provider Business Mailing Address
First Line	:	1623 JEFFCO BLVD STE 213
Second Line	:
City	:	ARNOLD
State	:	MO
Zip	:	63010-2737
Country	:	US
Telephone Number	:	636-633-0728
Fax Number	:

Provider Business Practice Location Address
First Line	:	1623 JEFFCO BLVD STE 213
Second Line	:
City	:	ARNOLD
State	:	MO
Zip	:	63010-2737
Country	:	US
Telephone Number	:	636-633-0728
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2026
Last Update Date	:	06/13/2026

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