Beth Ann Gillis, LPC
Individual provider Active NPI Counselor · Halifax, VA
NPI 1043420995 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1043420995
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- 0701003866 (VA)
- Practice address
- 585 Buena Vista Dr
Halifax, VA 24558-2155 - Phone
- (434) 476-2379
- Fax
- (434) 575-1063
- NPI assigned
- May 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701003866 | VA | MD | Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 0701003866 | VA | Yes |
Addresses
Primary practice location
585 Buena Vista Dr
Halifax, VA 24558-2155
Mailing address
585 Buena Vista Dr
Halifax, VA 24558-2155
Phone (434) 476-2379
Other providers in Halifax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.