Provider Demographics
NPI:1235839721
Name:GILE, MICHAELA MARIA (MED, MA, MS)
Entity Type:Individual
Prefix:MRS
First Name:MICHAELA
Middle Name:MARIA
Last Name:GILE
Suffix:
Gender:F
Credentials:MED, MA, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 CARPENTER ST
Mailing Address - Street 2:
Mailing Address - City:AMESBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01913-3504
Mailing Address - Country:US
Mailing Address - Phone:978-504-1551
Mailing Address - Fax:
Practice Address - Street 1:66 E MAIN ST UNIT B
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:MA
Practice Address - Zip Code:01833-2112
Practice Address - Country:US
Practice Address - Phone:781-328-1904
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-06
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health