Provider Demographics
NPI:1467927590
Name:FOLLIS, HILLARY (LLMSW)
Entity Type:Individual
Prefix:
First Name:HILLARY
Middle Name:
Last Name:FOLLIS
Suffix:
Gender:F
Credentials:LLMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1030 FAIRFAX ST
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:MI
Mailing Address - Zip Code:48009-1287
Mailing Address - Country:US
Mailing Address - Phone:248-761-7084
Mailing Address - Fax:
Practice Address - Street 1:74 W LONG LAKE RD STE 100
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48304-2770
Practice Address - Country:US
Practice Address - Phone:248-761-7084
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-04
Last Update Date:2018-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801094902104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker