Provider Demographics
NPI:1093970477
Name:GILLESPIE, VELONEY C
Entity Type:Individual
Prefix:
First Name:VELONEY
Middle Name:C
Last Name:GILLESPIE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 AVENUE I NE
Mailing Address - Street 2:BEHAVIORAL HEALTH DIVISION
Mailing Address - City:WINTER HAVEN
Mailing Address - State:IL
Mailing Address - Zip Code:33881
Mailing Address - Country:US
Mailing Address - Phone:863-294-7062
Mailing Address - Fax:863-291-6755
Practice Address - Street 1:200 AVENUE I NE
Practice Address - Street 2:BEHAVIORAL HEALTH DIVISION
Practice Address - City:WINTER HAVEN
Practice Address - State:IL
Practice Address - Zip Code:33880
Practice Address - Country:US
Practice Address - Phone:863-294-7062
Practice Address - Fax:863-291-6755
Is Sole Proprietor?:No
Enumeration Date:2008-07-24
Last Update Date:2008-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator