Provider Demographics
NPI:1023568565
Name:GILLILAND, MEGHAN (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:MEGHAN
Middle Name:
Last Name:GILLILAND
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8987 E TANQUE VERDE RD STE 3091031
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85749-9610
Mailing Address - Country:US
Mailing Address - Phone:520-425-7566
Mailing Address - Fax:520-300-7173
Practice Address - Street 1:8987 E TANQUE VERDE RD STE 3091031
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85749-9610
Practice Address - Country:US
Practice Address - Phone:520-425-7566
Practice Address - Fax:520-300-7173
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-07
Last Update Date:2020-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLCSW-179321041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical