MEDICARE: CAYLEE MICHELLE GILHAM LCMHC

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	P2406013	AR
2	101YM0800X	Mental Health Counselor	14371	NC

General Provider Information

NPI Number	:	1811574288
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAYLEE MICHELLE GILHAM LCMHC

Provider Business Mailing Address
First Line	:	PO BOX 8879
Second Line	:
City	:	ASHEVILLE
State	:	NC
Zip	:	28814-8879
Country	:	US
Telephone Number	:	828-329-7264
Fax Number	:

Provider Business Practice Location Address
First Line	:	319 S WESTGATE DR STE D
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27407-1632
Country	:	US
Telephone Number	:	866-700-1606
Fax Number	:	866-338-5921

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

Provider Enumeration Date	:	03/24/2021
Last Update Date	:	11/04/2024

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