Provider Demographics
NPI:1073011789
Name:HILLMAN, BETTIE S (EDD, LPC)
Entity Type:Individual
Prefix:DR
First Name:BETTIE
Middle Name:S
Last Name:HILLMAN
Suffix:
Gender:F
Credentials:EDD, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 795
Mailing Address - Street 2:
Mailing Address - City:RUSSELLVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35653-0795
Mailing Address - Country:US
Mailing Address - Phone:256-332-5800
Mailing Address - Fax:256-332-5800
Practice Address - Street 1:PO BOX 795
Practice Address - Street 2:
Practice Address - City:RUSSELLVILLE
Practice Address - State:AL
Practice Address - Zip Code:35653-0795
Practice Address - Country:US
Practice Address - Phone:256-332-5800
Practice Address - Fax:256-332-5800
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-28
Last Update Date:2018-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3838101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor