Provider Demographics
NPI:1679562342
Name:GILREATH, RAYMOND CURTIS JR (LPC, LMFT)
Entity Type:Individual
Prefix:MR
First Name:RAYMOND
Middle Name:CURTIS
Last Name:GILREATH
Suffix:JR
Gender:M
Credentials:LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:844 DANCY AVE
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31419-3008
Mailing Address - Country:US
Mailing Address - Phone:912-927-2431
Mailing Address - Fax:
Practice Address - Street 1:6205 ABERCORN ST
Practice Address - Street 2:SUITE 108
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-5527
Practice Address - Country:US
Practice Address - Phone:912-927-2431
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA116101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional