Most Relevant Information
Provider Data
| NPI Number: | 1003275272 |
| Provider Name: | AMELIA GILLIS |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | IMH 14499 |
Most Important Dates
| Enumeration Date: | 02/16/2016 |
| Last Updated: | 02/16/2016 |
Provider Practice Location
2704 REW CIR STE 105F
OCOEE
FL
347612994
Practice Location Phone/Fax
| Phone: | 3214368445 |
| Fax: | 4072989166 |
Provider Mailing Location
2704 REW CIR STE 105F
OCOEE
FL
347612994
Provider Mailing Phone/Fax
| Phone: | 3214368445 |
| Fax: | 4072989166 |