Provider Demographics
NPI:1073983433
Name:HAUER, LILLIE CHRISTINE (RSW, MSW)
Entity Type:Individual
Prefix:
First Name:LILLIE
Middle Name:CHRISTINE
Last Name:HAUER
Suffix:
Gender:F
Credentials:RSW, MSW
Other - Prefix:
Other - First Name:LILLIE
Other - Middle Name:CHRISTINE
Other - Last Name:HAUER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:860 EAST RIVER PLACE SUITE 100, JACKSON, MS 39202
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39202-3013
Mailing Address - Country:US
Mailing Address - Phone:769-251-5550
Mailing Address - Fax:769-251-5590
Practice Address - Street 1:9 ROUX 61
Practice Address - Street 2:SUITE C
Practice Address - City:NATCHEZ
Practice Address - State:MS
Practice Address - Zip Code:39120
Practice Address - Country:US
Practice Address - Phone:601-897-8100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-29
Last Update Date:2020-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator