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NPI Code Detail

MEDICARE: MAKAYLA ANN GILL

MEDICARE:   MAKAYLA ANN GILL
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
1101YP2500XProfessional Counselor92457TX
2171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1679265169
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAKAYLA ANN GILL
Provider Business Mailing Address
First Line : 1305 11TH ST
Second Line :
City : HUNTSVILLE
State : TX
Zip : 77340-3811
Country : US
Telephone Number : 936-642-0061
Fax Number :
Provider Business Practice Location Address
First Line : 1305 11TH ST
Second Line :
City : HUNTSVILLE
State : TX
Zip : 77340-3811
Country : US
Telephone Number : 936-642-0061
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2023
Last Update Date : 04/29/2025

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Directions to “ MAKAYLA ANN GILL ” Practice Location

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