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DETRA S GILLIANS
NPI 1619644754
Counselor - Mental Health in Bronx, NY

Active since August 26, 2021
3174 RIVERDALE AVE, BRONX, NY 10463(347) 450-6164 Get Directions Write a Review

NPPES record last updated: October 18, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 18, 2021, Aug 26, 2021 (2 updates tracked since 2021).

About Detra S Gillians NPPES

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

DETRA S GILLIANS (NPI 1619644754) is an individual mental health provider in Bronx, New York and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1619644754
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDETRA S GILLIANS
Location Address3174 RIVERDALE AVEBronx, NY 10463-3839
Mailing Address3174 Riverdale AveBronx, NY 10463-3839 · (347) 450-6164
Phone(347) 450-6164
Sole ProprietorYes
Enumeration DateAugust 26, 2021
Last NPPES UpdateOctober 18, 20212 updates tracked since enumeration
NPPES CertifiedOctober 18, 2021
✔ NPI 1619644754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3174 RIVERDALE AVE, Bronx, NY 10463
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Other Providers at the Same Location NPPES

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

DANIEL MROUE
Counselor (Mental Health)
3174 RIVERDALE AVE
BRONX, NY 10463
Bronx County (347) 450-6164

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 Detra Gillians's NPI number?

The NPI number for Detra Gillians is 1619644754. It was assigned to this individual provider in the NPPES registry on August 26, 2021.

Where is Detra Gillians located?

Detra Gillians practices at 3174 Riverdale Ave, Bronx, NY 10463. The listed phone number is (347) 450-6164.

What is Detra Gillians's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Detra Gillians was last updated on October 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.