Provider Demographics
NPI:1619549722
Name:HILARY MATTHEWS LICENSED MARRIAGE AND FAMILY THERAPIST PC
Entity Type:Organization
Organization Name:HILARY MATTHEWS LICENSED MARRIAGE AND FAMILY THERAPIST PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MARRIAGE AND FAMILY THERAP
Authorized Official - Prefix:MRS
Authorized Official - First Name:HILARY
Authorized Official - Middle Name:ALISON
Authorized Official - Last Name:MATTHEWS
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT, CADC II
Authorized Official - Phone:818-568-2563
Mailing Address - Street 1:2467 SHELTERED MEADOWS LN
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-2901
Mailing Address - Country:US
Mailing Address - Phone:818-568-2563
Mailing Address - Fax:661-362-8621
Practice Address - Street 1:2467 SHELTERED MEADOWS LN
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-2901
Practice Address - Country:US
Practice Address - Phone:818-568-2563
Practice Address - Fax:661-362-8621
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-16
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty