Provider Demographics
NPI:1912782509
Name:DARRYL GILMER, LMFT, PLLC
Entity Type:Organization
Organization Name:DARRYL GILMER, LMFT, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DARRYL
Authorized Official - Middle Name:
Authorized Official - Last Name:GILMER
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:760-668-4100
Mailing Address - Street 1:5453 COLIN POWELL AVE
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79934-2823
Mailing Address - Country:US
Mailing Address - Phone:760-668-4100
Mailing Address - Fax:
Practice Address - Street 1:5453 COLIN POWELL AVE
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79934-2823
Practice Address - Country:US
Practice Address - Phone:760-668-4100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-30
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty