Provider Demographics
NPI:1861287815
Name:T GILMAN THERAPY PLLC
Entity type:Organization
Organization Name:T GILMAN THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:
Authorized Official - Last Name:GILMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LIMHP, LISW, CMSW
Authorized Official - Phone:712-713-0270
Mailing Address - Street 1:300 W BROADWAY STE 37
Mailing Address - Street 2:
Mailing Address - City:COUNCIL BLUFFS
Mailing Address - State:IA
Mailing Address - Zip Code:51503-9019
Mailing Address - Country:US
Mailing Address - Phone:712-713-0270
Mailing Address - Fax:
Practice Address - Street 1:300 W BROADWAY STE 37
Practice Address - Street 2:
Practice Address - City:COUNCIL BLUFFS
Practice Address - State:IA
Practice Address - Zip Code:51503-9019
Practice Address - Country:US
Practice Address - Phone:712-713-0270
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-10
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty