Provider Demographics
NPI:1639320492
Name:HILBERT, FAYE R (LCSW)
Entity Type:Individual
Prefix:
First Name:FAYE
Middle Name:R
Last Name:HILBERT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:613 WILLIAMS BLVD
Mailing Address - Street 2:
Mailing Address - City:KENNER
Mailing Address - State:LA
Mailing Address - Zip Code:70062-7635
Mailing Address - Country:US
Mailing Address - Phone:504-441-5555
Mailing Address - Fax:504-441-5550
Practice Address - Street 1:613 WILLIAMS BLVD
Practice Address - Street 2:
Practice Address - City:KENNER
Practice Address - State:LA
Practice Address - Zip Code:70062-7635
Practice Address - Country:US
Practice Address - Phone:504-441-5555
Practice Address - Fax:504-441-5550
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-09
Last Update Date:2008-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA35681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical