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KYLE MARCUS GILLIAM LPC
NPI 1831871094
Counselor - Professional in Philadelphia, PA

Active since August 07, 2023
4049 HAVERFORD AVE FL 2, PHILADELPHIA, PA 19104(215) 839-6867 Get Directions Write a Review

NPPES record last updated: May 10, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 10, 2024, Aug 7, 2023 (2 updates tracked since 2023).

About Kyle Marcus Gilliam Lpc NPPES

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

KYLE MARCUS GILLIAM LPC (NPI 1831871094) is an individual professional provider in Philadelphia, Pennsylvania and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1831871094
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameKYLE MARCUS GILLIAMCredential: LPC
Location Address4049 HAVERFORD AVE FL 2Philadelphia, PA 19104-1745
Mailing Address4049 Haverford Ave Apt 2Philadelphia, PA 19104-1745 · (267) 559-2356
Phone(215) 839-6867
Sole ProprietorNo
Enumeration DateAugust 7, 2023
Last NPPES UpdateMay 10, 20242 updates tracked since enumeration
NPPES CertifiedMay 10, 2024
✔ NPI 1831871094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
4049 HAVERFORD AVE FL 2, Philadelphia, PA 19104
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Other Names 1

Professional Name (2)Kye M Gilliam

Other Providers at the Same Location NPPES

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

THERAPY BASED LTD
Counselor (Professional)
4049 HAVERFORD AVE FL 2
PHILADELPHIA, PA 19104
Philadelphia County (215) 839-6867

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 Kyle Gilliam's NPI number?

The NPI number for Kyle Gilliam is 1831871094. It was assigned to this individual provider in the NPPES registry on August 7, 2023. The provider is also known as Kye M Gilliam.

Where is Kyle Gilliam located?

Kyle Gilliam practices at 4049 Haverford Ave Fl 2, Philadelphia, PA 19104. The listed phone number is (215) 839-6867.

What is Kyle Gilliam's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Kyle Gilliam was last updated on May 10, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.