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NPI Code Detail

MEDICARE: HEATHER M. GILL PCC

MEDICARE: HEATHER M. GILL PCC
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
1101YM0800XMental Health CounselorOH

General Provider Information

NPI Number : 1922434422
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER M. GILL PCC
Provider Business Mailing Address
First Line : 23293 COMMERCE PARK
Second Line :
City : BEACHWOOD
State : OH
Zip : 44122-5808
Country : US
Telephone Number : 440-477-8591
Fax Number :
Provider Business Practice Location Address
First Line : 23293 COMMERCE PARK
Second Line :
City : BEACHWOOD
State : OH
Zip : 44122-5808
Country : US
Telephone Number : 216-292-7170
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2013
Last Update Date : 09/09/2024

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