Jacquelyn M Gilles
MANDALA HOUSE, LLC


Address: 1190 E Broadway, Louisville, KY 40204-1712
Phone: 5023092408

Jacquelyn M Gilles (NPI# 1124212972, PAC ID# 9133492580) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.

Physician Overview

Nation Provider ID (NPI) 1124212972
PAC ID by PECOS 9133492580
Professional Enrollment ID I20170913002014
Full Name Jacquelyn M Gilles
Organization Legal Name MANDALA HOUSE, LLC
Address 1190 E Broadway
Louisville
KY 40204-1712
Phone Number 5023092408
Gender F
Graduation Year 2011
Primary Specialty PSYCHOLOGIST, CLINICAL
Group Practice PAC ID 4789957135
Number of Group Practice Members 7
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
1190 E Broadway, Louisville, KY 40204-1712 5023092408 MANDALA HOUSE, LLC

Organization Information

Organization Legal Name MANDALA HOUSE, LLC
Physicians 7

Physicians with the same organization

Name Specialty Organization Address
Bethany D Simon Psychologist, Clinical Mandala House, LLC 1190 E Broadway, Louisville, KY 40204-1712
Samuel G Miller Psychologist, Clinical Mandala House, LLC 1190 E Broadway, Louisville, KY 40204-1712
Adrianne Lange Psychologist, Clinical Mandala House, LLC 1190 E Broadway, Louisville, KY 40204-1712
Christopher C Tyler Clinical Social Worker Mandala House, LLC 1190 E Broadway, Louisville, KY 40204-1712
David E Kissel Psychiatry Mandala House, LLC 1190 E Broadway, Louisville, KY 40204-1712
Barbara T Beauchamp Clinical Psychologist Mandala House, LLC 1190 E Broadway, Louisville, KY 40204-1712

Office Location

Street Address 1190 E BROADWAY
City LOUISVILLE
State KY
Zip 40204-1712

Physicians in the same location

Name Specialty Organization Address
Bethany D Simon Psychologist, Clinical Mandala House, LLC 1190 E Broadway, Louisville, KY 40204-1712
Samuel G Miller Psychologist, Clinical Mandala House, LLC 1190 E Broadway, Louisville, KY 40204-1712
Adrianne Lange Psychologist, Clinical Mandala House, LLC 1190 E Broadway, Louisville, KY 40204-1712
Christopher C Tyler Clinical Social Worker Mandala House, LLC 1190 E Broadway, Louisville, KY 40204-1712
David E Kissel Psychiatry Mandala House, LLC 1190 E Broadway, Louisville, KY 40204-1712
Barbara T Beauchamp Clinical Psychologist Mandala House, LLC 1190 E Broadway, Louisville, KY 40204-1712

Physicians in the same zip code

Name Specialty Organization Address
Anna V Gass Nurse Practitioner Family Health Centers, Inc. 834 E Broadway, Louisville, KY 40204-1072
Kimberley Brumleve Internal Medicine Family Health Centers, Inc. 834 E Broadway, Louisville, KY 40204-1072
Erin R Riedel Clinical Social Worker Family Health Centers, Inc. 834 E Broadway, Louisville, KY 40204-1072
Terrica Michelle Flowers Nurse Practitioner Family Health Centers, Inc. 834 E Broadway, Louisville, KY 40204-1072
Babie Lalremsiami Family Medicine Family Health Centers, Inc. 834 E Broadway, Louisville, KY 40204-1072
Gwendolyn Sue Rinker Nurse Practitioner Family Health Centers, Inc. 834 E Broadway, Louisville, KY 40204-1072
Miranda J Coole Family Medicine Family Health Centers, Inc. 834 E Broadway, Louisville, KY 40204-1072
Elaine M Woerner Family Practice Family Health Centers, Inc. 834 E Broadway, Louisville, KY 40204-1072
Terry S Campbell Nurse Practitioner Family Health Centers, Inc. 834 E Broadway, Louisville, KY 40204-1072
Traci R Welker Nurse Practitioner Family Health Centers, Inc. 834 E Broadway, Louisville, KY 40204-1072
Find all physicians in zip 40204

Competitor

Search similar physicians

City LOUISVILLE
Zip Code 40204
Specialty PSYCHOLOGIST, CLINICAL
City + Specialty LOUISVILLE + PSYCHOLOGIST, CLINICAL

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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