Gillis, Jolie Lynn

Gillis, Jolie Lynn is an individual health care provider with primary practice located at 4094 Lafayette St , Marianna FL 32446-5648. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Gillis, Jolie Lynn can be contacted via phone (850) 522-4485.

Contact Information

Primary practice address
4094 Lafayette St Marianna FL 32446-5648
Phone: (850) 522-4485
Fax: (850) 522-4484
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1750300109
LBN Legal business name Gillis, Jolie Lynn
Credentials LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Mar 4th, 2011 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1750300109 NPPES
Florida MEDICAID 7615426 00

Popular Providers