MEDICARE: MR. RAYMOND CURTIS GILREATH JR. LPC, LMFT

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	101YP2500X	Professional Counselor	116	GA

General Provider Information

NPI Number	:	1679562342
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RAYMOND CURTIS GILREATH JR. LPC, LMFT

Provider Business Mailing Address
First Line	:	844 DANCY AVE
Second Line	:
City	:	SAVANNAH
State	:	GA
Zip	:	31419-3008
Country	:	US
Telephone Number	:	912-927-2431
Fax Number	:

Provider Business Practice Location Address
First Line	:	6205 ABERCORN ST
Second Line	:	SUITE 108
City	:	SAVANNAH
State	:	GA
Zip	:	31405-5527
Country	:	US
Telephone Number	:	912-927-2431
Fax Number	:

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

Provider Enumeration Date	:	10/17/2005
Last Update Date	:	07/08/2007

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