Gilliam, Andrea N
Gilliam, Andrea N is an individual health care provider with primary practice located at 800 Exchange Ave Ste 103 , Conway AR 72032-7833. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Gilliam, Andrea N can be contacted via phone (501) 781-2230.Contact Information
Primary practice address
800 Exchange Ave Ste 103
Conway AR 72032-7833
Phone: (501) 781-2230
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor | 225C00000X | 0014963 | |
Behavioral Health & Social Service Providers / Counselor | 101Y00000X | A2204011 | Arkansas |
Profile Details
NPI number | 1962134478 |
---|---|
LBN Legal business name | Gilliam, Andrea N |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 24th, 2022 |
Last updated | Jun 24th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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