Healthcare Provider Details

I. General information

NPI: 1700793635
Provider Name (Legal Business Name): GILLEY COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

598 SE COUNTY ROAD DD STE 1
WARRENSBURG MO
64093-8406
US

IV. Provider business mailing address

598 SE COUNTY ROAD DD STE 1
WARRENSBURG MO
64093-8406
US

V. Phone/Fax

Practice location:
  • Phone: 816-514-4455
  • Fax: 816-477-3090
Mailing address:
  • Phone: 816-514-4455
  • Fax: 816-477-3090

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MRS. MARTHA MELENDIA GILLEY
Title or Position: OWNER
Credential: LPC
Phone: 816-514-4455