Gilliam, Kristi

Gilliam, Kristi is an individual health care provider with primary practice located at 3715 Red Hill Rd , Gate City VA 24251-2537. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Gilliam, Kristi can be contacted via phone (423) 571-0391.

Contact Information

Primary practice address
3715 Red Hill Rd Gate City VA 24251-2537
Phone: (423) 571-0391
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 9378 Tennessee
Behavioral Health & Social Service Providers / Clinical 1041C0700X TPSW7217 Florida

Profile Details

NPI number 1336878826
LBN Legal business name Gilliam, Kristi
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2022
Last updated Oct 4th, 2026 - about last week

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 1336878826 NPPES
Tennessee MEDICAID 1228

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