Provider Demographics
NPI:1801774484
Name:GILLILAND, KAILEE (MA, EDS, NCSP)
Entity type:Individual
Prefix:
First Name:KAILEE
Middle Name:
Last Name:GILLILAND
Suffix:
Gender:F
Credentials:MA, EDS, NCSP
Other - Prefix:
Other - First Name:KAILEE
Other - Middle Name:
Other - Last Name:GROSHANS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, EDS, NCSP
Mailing Address - Street 1:5807 OSBORNE DR W
Mailing Address - Street 2:
Mailing Address - City:HASTINGS
Mailing Address - State:NE
Mailing Address - Zip Code:68901-9158
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5807 OSBORNE DR W
Practice Address - Street 2:
Practice Address - City:HASTINGS
Practice Address - State:NE
Practice Address - Zip Code:68901-9158
Practice Address - Country:US
Practice Address - Phone:402-463-5611
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-22
Last Update Date:2025-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool