Provider Demographics
NPI:1396925673
Name:GILL, JOAN WELLS (LPC)
Entity type:Individual
Prefix:
First Name:JOAN
Middle Name:WELLS
Last Name:GILL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9608 DOLIVER DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-1013
Mailing Address - Country:US
Mailing Address - Phone:713-789-8645
Mailing Address - Fax:713-789-9130
Practice Address - Street 1:4200 WESTHEIMER RD
Practice Address - Street 2:SUITE 201
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-4415
Practice Address - Country:US
Practice Address - Phone:713-906-0307
Practice Address - Fax:713-789-9130
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-05
Last Update Date:2007-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19866101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health