Provider Demographics
NPI:1619696804
Name:HILIMIRE, MELISSA ANN (APC)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:ANN
Last Name:HILIMIRE
Suffix:
Gender:F
Credentials:APC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 E MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:HINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31313-2727
Mailing Address - Country:US
Mailing Address - Phone:912-876-4010
Mailing Address - Fax:
Practice Address - Street 1:101 E MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:HINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:31313-2727
Practice Address - Country:US
Practice Address - Phone:912-876-4010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-23
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAPC6930101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional