Provider Demographics
NPI:1013374560
Name:HILLIKER, AUDREY (LPC, LMFT)
Entity Type:Individual
Prefix:
First Name:AUDREY
Middle Name:
Last Name:HILLIKER
Suffix:
Gender:F
Credentials:LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8650 BYRON CENTER AVE SW STE 20
Mailing Address - Street 2:
Mailing Address - City:BYRON CENTER
Mailing Address - State:MI
Mailing Address - Zip Code:49315-9589
Mailing Address - Country:US
Mailing Address - Phone:616-426-6829
Mailing Address - Fax:
Practice Address - Street 1:8650 BYRON CENTER AVE SW STE U5
Practice Address - Street 2:
Practice Address - City:BYRON CENTER
Practice Address - State:MI
Practice Address - Zip Code:49315-9588
Practice Address - Country:US
Practice Address - Phone:616-426-6829
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-27
Last Update Date:2020-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4101006587106H00000X
MI6401015015101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist