Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MICHAEL JEROME GILLIARD II, LPC, NCC
ActiveMR. MICHAEL JEROME GILLIARD II, LPC, NCC is a Mental Health Counselor healthcare provider located in ST SIMONS ISLAND, Georgia. NPI 1598294571 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · ST SIMONS ISLAND, GA
Registration Details
- NPI Number
- 1598294571
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 5, 2017 (9.1727822526129 yrs)
- Last Updated
- Apr 3, 2019
- License
-
LPC010398 (GA)
Practice Information
- Address
-
50 AVIATOR PLZ STE 105NST SIMONS ISLAND, GA, 315220140Browse GA providers · Browse ZIP 31522
- Phone
- 4045496987
- Fax
- 4047955787
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.