Gill, Andrew
Gill, Andrew is an sole proprietor health care provider with primary practice located at 1304 W Walnut Hill Ln Ste 120 , Irving TX 75038-3002. 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
1304 W Walnut Hill Ln Ste 120
Irving TX 75038-3002
Phone: (817) 360-5364
Fax: (817) 977-8303
Website:
Health care specialties
| Specialty | Code | License # | 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 | Jan 8th, 2025 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184919839 | NPPES |
| Texas | MEDICAID | 262726999 |
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