Provider Demographics
NPI:1568101848
Name:GILCHRIST, SELEME (LPC)
Entity Type:Individual
Prefix:
First Name:SELEME
Middle Name:
Last Name:GILCHRIST
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7182 N UBER ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19138-2116
Mailing Address - Country:US
Mailing Address - Phone:267-809-5433
Mailing Address - Fax:
Practice Address - Street 1:501 WASHINGTON LN STE 304
Practice Address - Street 2:
Practice Address - City:JENKINTOWN
Practice Address - State:PA
Practice Address - Zip Code:19046-3148
Practice Address - Country:US
Practice Address - Phone:267-809-5433
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-03
Last Update Date:2022-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC013841101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor