Individual
MRS. MIRANDA GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1255 PROVIDENCE PLACE PKWY STE 115, LEXINGTON, KY 40511-8379
(216) 468-5000
Mailing address
102 RIVER DR, IRVINE, KY 40336-1118
(606) 717-1024
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
294359
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790731081
—
KY
Enumeration date
07/31/2019
Last updated
08/06/2025
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