Provider Demographics
NPI:1497932644
Name:HILLIARD, COLLEEN MURPHY (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:COLLEEN
Middle Name:MURPHY
Last Name:HILLIARD
Suffix:
Gender:F
Credentials:LMFT
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 702
Mailing Address - Street 2:
Mailing Address - City:SIMSBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06070-0702
Mailing Address - Country:US
Mailing Address - Phone:860-305-8491
Mailing Address - Fax:860-231-7809
Practice Address - Street 1:776 FARMINGTON AVE
Practice Address - Street 2:
Practice Address - City:WEST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06119-1677
Practice Address - Country:US
Practice Address - Phone:860-326-0287
Practice Address - Fax:860-231-7809
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-29
Last Update Date:2008-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000936106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT50ANCOINCCT01OtherANTHEM BLUE CROSS
CTP3644323OtherOXFORD HEALTH, INC
CT62-28975OtherUNITED BEHAVORIAL HEALTH