Provider Demographics
NPI:1952638199
Name:GUILHAS, KATHY M
Entity Type:Individual
Prefix:
First Name:KATHY
Middle Name:M
Last Name:GUILHAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 FLYBRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:MYRTLE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29579-6730
Mailing Address - Country:US
Mailing Address - Phone:903-742-1692
Mailing Address - Fax:
Practice Address - Street 1:110 FLYBRIDGE RD
Practice Address - Street 2:
Practice Address - City:MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29579-6730
Practice Address - Country:US
Practice Address - Phone:903-742-1692
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-09
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional