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

Ty'Ionna Nicole Gillam

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1164096970

Ty'Ionna Nicole Gillam is an Addiction (Substance Use Disorder) Counselor in Walterboro, South Carolina. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

1439 Thunderbolt Dr
Walterboro, SC 29488-9341
Phone: (843) 539-2211
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1164096970
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 17, 2021
Last updated in NPPESMay 17, 2021
Certification dateMay 17, 2021

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