Kelly S Gilmer, LPC | |
2323 W Front St, Tyler, TX 75702-7704 | |
(903) 535-7458 | |
Not Available |
Full Name | Kelly S Gilmer |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 2323 W Front St, Tyler, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629689237 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 8779 (South Carolina) | Secondary |
101YP2500X | Counselor - Professional | 79423 (Texas) | Primary |
Entity Name | Coastal Samaritan Counseling Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922189679 PECOS PAC ID: 9537348487 Enrollment ID: O20110124000992 |
Mailing Address | Practice Location Address |
---|---|
Kelly S Gilmer, LPC 2323 W Front St, Tyler, TX 75702-7704 Ph: (903) 535-7458 | Kelly S Gilmer, LPC 2323 W Front St, Tyler, TX 75702-7704 Ph: (903) 535-7458 |
Mr. Laramie C Selman, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4101 University Blvd, Tyler, TX 75701 Phone: 903-363-7704 | |
Mrs. Jill Marie Kirkley, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3800 Paluxy Dr, Ste 240, Tyler, TX 75703 Phone: 903-630-0422 | |
Mrs. Joy Louise Bevoni, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 14023 State Highway 155 S, Tyler, TX 75703 Phone: 903-534-0414 | |
Mr. David Comins Wheeler, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5875 Grace Ave, Tyler, TX 75707 Phone: 903-316-5106 | |
Desiree Laurel Glaze, LPC S Counselor Medicare: Not Enrolled in Medicare Practice Location: 2003 Rickety Ln Ste E, Tyler, TX 75703 Phone: 903-330-0601 | |
Lenore Strickland, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5207 Hollytree Dr Apt 905, Tyler, TX 75703 Phone: 903-539-3158 | |
April Michelle Nance, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1510 S Vine Ave, Tyler, TX 75701 Phone: 903-526-4055 |