Gilliam, Genera Nicole

Gilliam, Genera Nicole is an sole proprietor health care provider with primary practice located at 155 Stillmere Ct , Winston Salem NC 27101-2311. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Gilliam, Genera Nicole can be contacted via phone (919) 539-7144.

Contact Information

Primary practice address
155 Stillmere Ct Winston Salem NC 27101-2311
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 9629 North Carolina

Profile Details

NPI number 1669719761
LBN Legal business name Gilliam, Genera Nicole
Credentials MA, LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 9th, 2013
Last updated Apr 9th, 2018 - about 8 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.

Request for update

Popular Providers