Individual provider · Type 1 NPI

Scotty Michael Gilmore, LPC

Mental Health Counselor · Burleson, TX

NPI number 1215587589 Active

Practice location

110 SW Thomas St
Burleson, TX 76028-3818

Call (817) 862-7906 Map

Mailing address

PO Box 11632
Fort Worth, TX 76110-0632

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X78287 (TX)

Mental Health Counselor: Definition to come...

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About NPI 1215587589

Scotty Michael Gilmore, LPC's National Provider Identifier is 1215587589, issued on Sep 18, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Burleson, TX. The record was last updated on Sep 18, 2019.