Healthcare Provider Details

I. General information

NPI: 1811574288
Provider Name (Legal Business Name): CAYLEE MICHELLE GILHAM LCMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2021
Last Update Date: 11/04/2024
Certification Date: 11/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

319 S WESTGATE DR STE D
GREENSBORO NC
27407-1632
US

IV. Provider business mailing address

PO BOX 8879
ASHEVILLE NC
28814-8879
US

V. Phone/Fax

Practice location:
  • Phone: 866-700-1606
  • Fax: 866-338-5921
Mailing address:
  • Phone: 828-329-7264
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number14371
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberP2406013
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: