| Mrs Miranda Gill, | |
|
1255 Providence Place Pkwy Ste 115, Lexington, KY 40511-8379 | |
| (216) 468-5000 | |
| Not Available |
| Full Name | Mrs Miranda Gill |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 1255 Providence Place Pkwy Ste 115, Lexington, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073167706 | NPI | - | NPPES |
| 1790731081 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 294359 (Kentucky) | Primary |
| Entity Name | Trinity Health Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952047193 PECOS PAC ID: 8123461191 Enrollment ID: O20240206004259 |
| Entity Name | Mental Health Specialty Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801472634 PECOS PAC ID: 8921466228 Enrollment ID: O20240921000535 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Miranda Gill, 102 River Dr, Irvine, KY 40336-1118 Ph: (606) 717-1024 | Mrs Miranda Gill, 1255 Providence Place Pkwy Ste 115, Lexington, KY 40511-8379 Ph: (216) 468-5000 |
Ms. Julia Housiaux Caldwell, LICENSEDPSYCHOLOGIST Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 823 Melrose Ave, Lexington, KY 40502 Phone: 414-379-7785 | |
Jennifer Scott, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1050 Chinoe Rd Ste 203, Lexington, KY 40502 Phone: 859-554-0740 | |
Laura Wafer, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 201 Mechanic St, Lexington, KY 40507 Phone: 859-229-1704 | |
Abigail Charin Ford, MS, LMFT. Couples Therapy Medicare: Medicare Enrolled Practice Location: 2285 Executive Dr, Lexington, KY 40505 Phone: 859-780-2442 | |
William E Nolan, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 861 Corporate Dr, Suite 103, Lexington, KY 40503 Phone: 859-224-2022 Fax: 859-224-2024 | |
Kelly Sherlock-coffee, Couples Therapy Medicare: Medicare Enrolled Practice Location: 1030 Monarch St, Lexington, KY 40513 Phone: 859-296-3141 Fax: 859-296-3144 |