Patrick Edward Gilliland, LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFT001143 Issued in GA

Legal business name

PATRICK EDWARD GILLILAND, LLC

Practice address

9635 Ventana Way
Suite 101
Johns Creek, GA 30022-8620

Phone

(678) 366-8862

Fax

(678) 739-0119

NPI assigned

Feb 18, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Patrick Edward Gilliland, LMFT

Title

Marriage and Family Therapist

Phone

(602) 463-5673

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1392681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392681600000",
    "number": "1942624580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9635 VENTANA WAY",
            "address_2": "SUITE 101",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300228620",
            "telephone_number": "678-366-8862",
            "fax_number": "678-739-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9635 VENTANA WAY",
            "address_2": "SUITE 101",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300228620",
            "telephone_number": "678-366-8862",
            "fax_number": "678-739-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK EDWARD GILLILAND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-18",
        "last_updated": "2014-02-18",
        "status": "A",
        "authorized_official_last_name": "GILLILAND",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "MARRIAGE AND FAMILY THERAPIST",
        "authorized_official_telephone_number": "602-463-5673",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "MFT001143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Johns Creek, GA by specialty
• Marriage & Family Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.