MEDICARE: MR. PAUL CHRISTOPHER GILLILAND LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	25442	TX
2	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1013247535
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. PAUL CHRISTOPHER GILLILAND LCSW

Provider Business Mailing Address
First Line	:	100 N CENTRAL EXPY STE 532&524
Second Line	:
City	:	RICHARDSON
State	:	TX
Zip	:	75080-5332
Country	:	US
Telephone Number	:	972-483-2862
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 N CENTRAL EXPY STE 532&524
Second Line	:
City	:	RICHARDSON
State	:	TX
Zip	:	75080-5332
Country	:	US
Telephone Number	:	972-483-2862
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/05/2010
Last Update Date	:	06/03/2026

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