Provider Demographics
NPI:1477160166
Name:GILLS, ROBIN Y (MA, LPC, CTP -E)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:Y
Last Name:GILLS
Suffix:
Gender:F
Credentials:MA, LPC, CTP -E
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 GREENTREE LN APT 17B
Mailing Address - Street 2:
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49015-4241
Mailing Address - Country:US
Mailing Address - Phone:269-986-7211
Mailing Address - Fax:
Practice Address - Street 1:34 JACKSON ST W STE 3B
Practice Address - Street 2:
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49017-3542
Practice Address - Country:US
Practice Address - Phone:269-986-7211
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-26
Last Update Date:2020-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401014545101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional