Provider Demographics
NPI:1962204529
Name:GILICH, ALANA BROOK (LCSW)
Entity type:Individual
Prefix:
First Name:ALANA
Middle Name:BROOK
Last Name:GILICH
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600US 31-W BYPASS
Mailing Address - Street 2:STE 180
Mailing Address - City:BOWLING GREEN
Mailing Address - State:KY
Mailing Address - Zip Code:42101
Mailing Address - Country:US
Mailing Address - Phone:270-842-4428
Mailing Address - Fax:270-891-5338
Practice Address - Street 1:600US 31-W BYPASS
Practice Address - Street 2:STE 180
Practice Address - City:BOWLING GREEN
Practice Address - State:KY
Practice Address - Zip Code:42101
Practice Address - Country:US
Practice Address - Phone:270-842-4428
Practice Address - Fax:270-891-5338
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-25
Last Update Date:2025-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY2601791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical