Provider Demographics
NPI:1760191977
Name:GIL, ANNE LLIDER (BS)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:LLIDER
Last Name:GIL
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 833
Mailing Address - Street 2:
Mailing Address - City:LOUGHMAN
Mailing Address - State:FL
Mailing Address - Zip Code:33858-0833
Mailing Address - Country:US
Mailing Address - Phone:407-632-7710
Mailing Address - Fax:
Practice Address - Street 1:7637 HERITAGE CROSSING WAY APT 302
Practice Address - Street 2:
Practice Address - City:REUNION
Practice Address - State:FL
Practice Address - Zip Code:34747-3144
Practice Address - Country:US
Practice Address - Phone:407-632-7710
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-16
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health