Gilliland, Patrick Edward

Gilliland, Patrick Edward is an sole proprietor health care provider with primary practice located at 9635 Ventana Way Suite 101, Johns Creek GA 30022-8620. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Gilliland, Patrick Edward can be contacted via phone (678) 366-8862.

Contact Information

Primary practice address
9635 Ventana Way Suite 101 Johns Creek GA 30022-8620
Phone: (678) 366-8862
Fax: (678) 739-0119
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFT001143 Georgia

Profile Details

NPI number 1386837052
LBN Legal business name Gilliland, Patrick Edward
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 24th, 2007
Last updated Sep 16th, 2013 - about 12 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 1386837052 NPPES
Georgia Other 12140978 CAQH

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