Provider Demographics
NPI:1689816530
Name:MICHAEL HILGERS
Entity Type:Organization
Organization Name:MICHAEL HILGERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:JEREMY
Authorized Official - Last Name:HILGERS
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC
Authorized Official - Phone:512-739-4882
Mailing Address - Street 1:1502 WEST AVE STE A
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78701-1562
Mailing Address - Country:US
Mailing Address - Phone:512-739-4882
Mailing Address - Fax:512-597-3902
Practice Address - Street 1:1502 WEST AVE STE A
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78701-1562
Practice Address - Country:US
Practice Address - Phone:512-739-4882
Practice Address - Fax:512-597-3902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-24
Last Update Date:2009-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17131101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty