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1457133894 NPI number — CHRISTOPHER STEPHEN GILL MA, LCMHCA

NPI Number: 1457133894
Health Care Provider/Practitioner: CHRISTOPHER STEPHEN GILL MA, LCMHCA

Information about “1457133894” NPI (CHRISTOPHER STEPHEN GILL MA, LCMHCA) exists in 1457133894 in HTML format HTML  |  1457133894 in plain Text format TXT  |  1457133894 in PDF (Portable Document Format) PDF  |  1457133894 in an XML format XML  formats.

NPI Number : 1457133894 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1457133894",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GILL",
    "FirstName": "CHRISTOPHER",
    "MiddleName": "STEPHEN",
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "MA, LCMHCA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "628 LEGACY CT APT 232",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WINTERVILLE",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "28590-5121",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "412-874-1775",
    "MailingAddressFaxNumber": "252-631-0658",
    "FirstLinePracticeLocationAddress": "1330 E ARLINGTON BLVD STE 106",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GREENVILLE",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "27858-7850",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "252-999-3477",
    "PracticeLocationAddressFaxNumber": "252-631-0658",
    "EnumerationDate": "10/19/2023",
    "LastUpdateDate": "09/08/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YP2500X",
        "TaxonomyName": "Professional Counselor",
        "LicenseNumber": "19333",
        "LicenseNumberStateCode": "NC",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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