Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kyle Marcus Gilliam, LPC

Individual provider Counselor · NPI 1831871094

Kyle Marcus Gilliam, LPC is a Counselor in Philadelphia, Pennsylvania. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
4
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

4049 Haverford Ave Fl 2
Philadelphia, PA 19104-1745
Phone: (215) 839-6867
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X
Counselor Taxonomy 101Y00000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1831871094
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorNo
NPI enumeratedAugust 7, 2023
Last updated in NPPESMay 10, 2024
Certification dateMay 10, 2024

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