Provider Demographics
NPI:1063409571
Name:PILCHER, G. MICHAEL (PHD, LMHC)
Entity type:Individual
Prefix:DR
First Name:G. MICHAEL
Middle Name:
Last Name:PILCHER
Suffix:
Gender:M
Credentials:PHD, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:555 W GRANADA BLVD STE G3
Mailing Address - Street 2:
Mailing Address - City:ORMOND BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32174-9407
Mailing Address - Country:US
Mailing Address - Phone:386-227-6404
Mailing Address - Fax:
Practice Address - Street 1:555 W GRANADA BLVD STE G3
Practice Address - Street 2:
Practice Address - City:ORMOND BEACH
Practice Address - State:FL
Practice Address - Zip Code:32174-9407
Practice Address - Country:US
Practice Address - Phone:386-227-6404
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-29
Last Update Date:2022-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1141101YA0400X
TN3137101YP2500X
VA0701008797101YP2500X
FL18198101YM0800X
FLNCP 2339103T00000X
TNLADAC 1141101YA0400X
TNLPC 3137101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103T00000XBehavioral Health & Social Service ProvidersPsychologist