Gill, Andrew

Gill, Andrew is an sole proprietor health care provider with primary practice located at 1615 Cooper Dr , Irving TX 75061-3026. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Gill, Andrew can be contacted via phone (817) 360-5364.

Contact Information

Primary practice address
1615 Cooper Dr Irving TX 75061-3026
Phone: (817) 360-5364
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 10377 Texas
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 62128 Texas

Profile Details

NPI number 1184919839
LBN Legal business name Gill, Andrew
Credentials LPC-S, LCDC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 10th, 2011
Last updated Apr 17th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184919839 NPPES
Texas MEDICAID 262726999

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