Individual
TIFFANY AMANDA GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
501 DARBY CREEK RD STE 40, LEXINGTON, KY 40509-1671
(859) 433-0762
Mailing address
577 CROMWELL WAY, LEXINGTON, KY 40503-4255
(859) 433-0762
(844) 927-4816
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
167163
KY
1041C0700X
Clinical Social Worker
Primary
253227
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100552960
—
KY
Enumeration date
06/05/2017
Last updated
03/29/2026
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