Provider Demographics
NPI:1194914630
Name:GIL, LINDA J (LCDP, LMHC)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:J
Last Name:GIL
Suffix:
Gender:F
Credentials:LCDP, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 KILLEY AVE
Mailing Address - Street 2:#12
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02889
Mailing Address - Country:US
Mailing Address - Phone:401-585-0023
Mailing Address - Fax:401-275-2125
Practice Address - Street 1:1020 PARK AVE
Practice Address - Street 2:SUITE 107
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02910
Practice Address - Country:US
Practice Address - Phone:401-585-0023
Practice Address - Fax:401-275-2127
Is Sole Proprietor?:No
Enumeration Date:2007-10-22
Last Update Date:2014-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RILCDP00054101YA0400X
RIMHC00419101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI62-99030OtherUNITED BEHAVIORAL HEALTH