MR. FREDRICK GILLAM JR. LPC-MHSP
NPI 1922512441
Counselor - Professional in Cordova, TN

Q: What is Fredrick Gillam's NPI number?

The NPI number for Fredrick Gillam is 1922512441. It was assigned to this individual provider in the NPPES registry on November 20, 2017.

Q: What is Fredrick Gillam's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Fredrick Gillam was last updated on November 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since November 20, 2017

815 EXOCET DR STE 107, CORDOVA, TN 38018(901) 230-2409 Get Directions Write a Review

NPPES record last updated: November 20, 2017. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Mr. Fredrick Gillam Jr. Lpc-mhsp NPPES

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

MR. FREDRICK GILLAM JR. LPC-MHSP (NPI 1922512441) is an individual professional provider in Cordova, Tennessee, licensed in Tennessee (0000003668) and active in the NPI registry since November 2017.

NPPES Registry Identity

NPI1922512441

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameMR. FREDRICK GILLAM JR.Credential: LPC-MHSP

Location Address815 EXOCET DR STE 107Cordova, TN 38018-2257

Mailing AddressPo Box 2911Cordova, TN 38088-2911 · (901) 230-2409

Phone(901) 230-2409

Sole ProprietorYes

Enumeration DateNovember 20, 2017

✔ NPI 1922512441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in TN · 0000003668

815 EXOCET DR STE 107, Cordova, TN 38018

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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 Fredrick Gillam's NPI number?

The NPI number for Fredrick Gillam is 1922512441. It was assigned to this individual provider in the NPPES registry on November 20, 2017.

Where is Fredrick Gillam located?

Fredrick Gillam practices at 815 Exocet Dr Ste 107, Cordova, TN 38018. The listed phone number is (901) 230-2409.

What is Fredrick Gillam'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 Fredrick Gillam was last updated on November 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.