| Jill Gorman Lpc Llc | |
|
1501 N University Ave Ste 700 Little Rock AR 72207-5297 | |
| (817) 681-0069 | |
| Not Available |
| Full Name | Jill Gorman Lpc Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1501 N University Ave Ste 700, Little Rock, Arkansas |
| Authorized Official Name and Position | Jill Gorman (PRESIDENT) |
| Authorized Official Contact | 8176810069 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jill Gorman Lpc Llc 16 Woodberry Rd Little Rock AR 72212-2742 Ph: (817) 681-0069 | Jill Gorman Lpc Llc 1501 N University Ave Ste 700 Little Rock AR 72207-5297 Ph: (817) 681-0069 |
| NPI Number | 1003234675 |
|---|---|
| Provider Enumeration Date | 04/01/2014 |
| Last Update Date | 05/12/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003234675 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | P1212118 (Arkansas) | Primary |
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