| Doctor Name: | MRS. DIANE KAY GILL |
| NPI Number: | 1033298849 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMSW |
| License Number: | 6801058676 |
| Business Practice Address: | 53950 Van Dyke Ave Suite 210b Shelby Township, MI - 483161819 |
| Business Phone Number: | 5867818400 |
| Business Fax Number: | 5867818300 |
| Mailing Address: | 53950 Van Dyke Ave, Suite 210b SHELBY TOWNSHIP |
| State: | MI |
| Postal Code: | 483161819 |
| Phone Number: | 5867818400 |
| Fax Number: | 5867818300 |
| NPI Enumeration Date: | 11/03/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 6801058676 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |