Provider Demographics
NPI:1427205764
Name:GN GILES GROUP LLC
Entity Type:Organization
Organization Name:GN GILES GROUP LLC
Other - Org Name:GILES & ASSOCIATES FAMILY PSYCHOLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GERET
Authorized Official - Middle Name:NOLAN
Authorized Official - Last Name:GILES
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:801-785-4622
Mailing Address - Street 1:762 W 2410 N
Mailing Address - Street 2:
Mailing Address - City:PLEASANT GROVE
Mailing Address - State:UT
Mailing Address - Zip Code:84062-8830
Mailing Address - Country:US
Mailing Address - Phone:801-785-4622
Mailing Address - Fax:
Practice Address - Street 1:233 SOUTH PLEASANT GROVE BLVD
Practice Address - Street 2:SUITE 203
Practice Address - City:PLEASANT GROVE
Practice Address - State:UT
Practice Address - Zip Code:84062
Practice Address - Country:US
Practice Address - Phone:801-785-4622
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-19
Last Update Date:2023-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT334087-2501103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty