Doctor Name: | KILA SOPHIA HILLMAN |
NPI Number: | 1356626006 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | T-0143321 |
Business Practice Address: | 5 La Paz Rd Pecos, NM - 875520369 |
Business Phone Number: | 5059198038 |
Business Fax Number: | |
Mailing Address: | Po Box 369, PECOS |
State: | NM |
Postal Code: | 875520369 |
Phone Number: | 5059198038 |
Fax Number: | |
NPI Enumeration Date: | 10/13/2011 |
NPI Last Update Date: | 03/15/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | T-0143321 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |