Gilliam, Chelsea A

Gilliam, Chelsea A is an individual health care provider with primary practice located at 1300 E Bradford Pkwy , Springfield MO 65804. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Counseling is her primary health care specialty. Gilliam, Chelsea A can be contacted via phone (417) 761-5000.

Contact Information

Primary practice address
1300 E Bradford Pkwy Springfield MO 65804
Phone: (417) 761-5000
Fax: (417) 761-5011
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 2012011493 Missouri
Behavioral Health & Social Service Providers / Counseling 103TC1900X 2014040968 Missouri

Profile Details

NPI number 1831523232
LBN Legal business name Gilliam, Chelsea A
Credentials PSYD, LP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2013
Last updated Mar 22nd, 2019 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1831523232 NPPES
Missouri MEDICAID 490007881

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