Provider Demographics
NPI:1699839340
Name:GILLETTE, KAY E (LMFT)
Entity Type:Individual
Prefix:
First Name:KAY
Middle Name:E
Last Name:GILLETTE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1181 LYTLE WAY
Mailing Address - Street 2:SUITE 2B
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79602-4299
Mailing Address - Country:US
Mailing Address - Phone:325-672-9972
Mailing Address - Fax:325-672-9987
Practice Address - Street 1:1181 LYTLE WAY
Practice Address - Street 2:SUITE 2B
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79602-4299
Practice Address - Country:US
Practice Address - Phone:325-672-9972
Practice Address - Fax:325-672-9987
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1715101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health