Doctor Name: | LILLIAM HENNINGSON |
NPI Number: | 1225158967 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SSW |
License Number: | 4753056-3502 |
Business Practice Address: | 390 W 100 N Ephraim, UT - 846272131 |
Business Phone Number: | 4352834065 |
Business Fax Number: | 4352835387 |
Mailing Address: | 255 W Main St, MOUNT PLEASANT |
State: | UT |
Postal Code: | 846471331 |
Phone Number: | 4354622416 |
Fax Number: | 4354629350 |
NPI Enumeration Date: | 03/29/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 4753056-3502 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |