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TY'IONNA NICOLE GILLAM
NPI 1164096970
Counselor - Addiction (Substance Use Disorder) in Walterboro, SC

Active since May 17, 2021
1439 THUNDERBOLT DR, WALTERBORO, SC 29488(843) 539-2211 Get Directions Write a Review

NPPES record last updated: May 17, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ty'ionna Nicole Gillam NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TY'IONNA NICOLE GILLAM (NPI 1164096970) is an individual addiction (substance use disorder) provider in Walterboro, South Carolina and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1164096970
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameTY'IONNA NICOLE GILLAM
Location Address1439 THUNDERBOLT DRWalterboro, SC 29488-9341
Mailing Address1439 Thunderbolt DrWalterboro, SC 29488-9341 · (843) 539-2211
Phone(843) 539-2211
Sole ProprietorNo
Enumeration DateMay 17, 2021
NPPES CertifiedMay 17, 2021
✔ NPI 1164096970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
1439 THUNDERBOLT DR, Walterboro, SC 29488
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HENRY P HIOTT MSW
Social Worker
1439 THUNDERBOLT DR
WALTERBORO, SC 29488
Colleton County (843) 538-4343
MR. ROGER CUTTER
Counselor (Addiction (Substance Use Disorder))
1439 THUNDERBOLT DR
WALTERBORO, SC 29488
Colleton County (803) 596-1685
KATHERINE HIGGINS LPC
Counselor (Addiction (Substance Use Disorder))
1439 THUNDERBOLT DR
WALTERBORO, SC 29488
Colleton County (843) 538-4343
BILLIE SMITH
Counselor (Addiction (Substance Use Disorder))
1439 THUNDERBOLT DR
WALTERBORO, SC 29488
Colleton County (860) 201-6784
MR. JAMES LEE REAVIS
Counselor (Addiction (Substance Use Disorder))
1439 THUNDERBOLT DR
WALTERBORO, SC 29488
Colleton County (843) 538-4343
BRITTANY SMITH LBSW
Counselor (Addiction (Substance Use Disorder))
1439 THUNDERBOLT DR
WALTERBORO, SC 29488
Colleton County (843) 538-4343
AL-TAYJAHA GARLAND
Counselor (Addiction (Substance Use Disorder))
1439 THUNDERBOLT DR
WALTERBORO, SC 29488
Colleton County (843) 538-4343
REGINA LYNN PARKER CPSS, SAS
Peer Specialist
1439 THUNDERBOLT DR
WALTERBORO, SC 29488
Colleton County (760) 224-4288

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ty'ionna Gillam's NPI number?

The NPI number for Ty'ionna Gillam is 1164096970. It was assigned to this individual provider in the NPPES registry on May 17, 2021.

Where is Ty'ionna Gillam located?

Ty'ionna Gillam practices at 1439 Thunderbolt Dr, Walterboro, SC 29488. The listed phone number is (843) 539-2211.

What is Ty'ionna Gillam's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Ty'ionna Gillam was last updated on May 17, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.