Provider Demographics
NPI:1619383973
Name:HILLMERT-GALLITZ, SARAH (LPC)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:
Last Name:HILLMERT-GALLITZ
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6767 W GREENFIELD AVE LOWR LEVEL1
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53214-4967
Mailing Address - Country:US
Mailing Address - Phone:414-475-7830
Mailing Address - Fax:414-475-7917
Practice Address - Street 1:6767 W GREENFIELD AVE LOWR LEVEL1
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53214-4967
Practice Address - Country:US
Practice Address - Phone:414-475-7830
Practice Address - Fax:414-475-7917
Is Sole Proprietor?:No
Enumeration Date:2014-07-08
Last Update Date:2021-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI8096-125101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional