Michael Gillock is a Counselor in South Bend, Indiana. Michael Gillock practices all healthcare services and medical treatments related to Counselor. The NPI Number for Michael Gillock is 1265563068. The last update date is 2007-07-08.
Michael Gillock's current location address is 403 E Madison St, South Bend, Indiana. You can contact this provider via phone number 5742831107 and fax number 5742831131. The mailing address for Michael Gillock is 403 E Madison St, South Bend, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Gillock |
|---|---|
| Address | 403 E Madison St, South Bend, Indiana |
| Phone Number | 5742831107 |
| Fax Number | 5742831131 |
| Sole Proprietor | N |
| Credentials | MS |
NPI Number Detail
| NPI Number | 1265563068 |
|---|---|
| Provider Enumeration Date | 2007-03-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 403 E Madison St |
|---|---|
| City | South Bend |
| State | Indiana (IN) |
| Post Code | 466172322 |
| Phone Number | 5742831107 |
| Fax Number | 5742831131 |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
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Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Michael Gillock by the Centers for Medicare & Medicaid Services?
The Michael Gillock has been issued the NPI (National Provider Identifier) 1265563068 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Michael Gillock?
The Michael Gillock is physically situated at 403 E Madison St, in the city of South Bend, state of IN, with the postal code 466172322.
What is Michael Gillock's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Michael Gillock's specialized field of practice is Counselor, and the corresponding taxonomy code that categorizes this area of specialization is 101Y00000X.
On what date did the Michael Gillock receive the assignment of its 1265563068 from the Centers for Medicare & Medicaid Services?
The Michael Gillock was issued its 1265563068 by the Centers for Medicare & Medicaid Services on 2007-03-07.
As of what date was the information pertaining to Michael Gillock, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Michael Gillock, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
NPI Number: 1023011681
Address: 506 Cromwell Ave, Rocky Hill, CT