| Rebecca Gilliland Lcsw Pllc | |
|
8990 Lorraine Rd Gulfport MS 39503-4176 | |
| (283) 331-3310 | |
| (228) 284-1608 |
| Full Name | Rebecca Gilliland Lcsw Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 8990 Lorraine Rd, Gulfport, Mississippi |
| Authorized Official Name and Position | Rebecca Jayne Gilliland (OWNER) |
| Authorized Official Contact | 2283313310 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rebecca Gilliland Lcsw Pllc 8990 Lorraine Rd Gulfport MS 39503-4176 Ph: (283) 331-3310 | Rebecca Gilliland Lcsw Pllc 8990 Lorraine Rd Gulfport MS 39503-4176 Ph: (283) 331-3310 |
| NPI Number | 1790473023 |
|---|---|
| Provider Enumeration Date | 04/25/2023 |
| Last Update Date | 04/25/2023 |
| Certification Date | 04/25/2023 |
| Medicare PECOS PAC ID | 7810353323 |
|---|---|
| Medicare Enrollment ID | O20230524003826 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790473023 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Rebecca Jayne Gilliland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215557061 PECOS PAC ID: 8729444237 Enrollment ID: I20230524003834 |
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