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

Stephanie Ann Gilliam

Individual provider Mental Health Counselor · NPI 1033081575

Stephanie Ann Gilliam is a Mental Health Counselor in Wellington, Florida. Qualified in 2022, 4 years ago. Practices as a sole proprietor. Licensed in Florida.

Years since qualifying
4
Licensed in
FL
In the registry since
2025

Practice location Address checks out

1592 Carriage Brooke Dr
Wellington, FL 33414-6120
Phone: (405) 210-8184
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence MH26441 (FL)

Record details

NPI number1033081575
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 23, 2025
Last updated in NPPESSeptember 23, 2025
Certification dateSeptember 23, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated

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