Provider Demographics
NPI:1558730713
Name:MELISSA HILDEBRAND COUNSELING SERVICES
Entity Type:Organization
Organization Name:MELISSA HILDEBRAND COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:HILDEBRAND
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:217-577-9100
Mailing Address - Street 1:126 N 30TH ST
Mailing Address - Street 2:SUITE 203
Mailing Address - City:QUINCY
Mailing Address - State:IL
Mailing Address - Zip Code:62301-3719
Mailing Address - Country:US
Mailing Address - Phone:217-577-9100
Mailing Address - Fax:217-666-4077
Practice Address - Street 1:126 N 30TH ST
Practice Address - Street 2:SUITE 203
Practice Address - City:QUINCY
Practice Address - State:IL
Practice Address - Zip Code:62301-3719
Practice Address - Country:US
Practice Address - Phone:217-577-9100
Practice Address - Fax:217-666-4077
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-17
Last Update Date:2015-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180007558251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health