Provider Demographics
NPI:1801412598
Name:HILLISON, DEVON T (LCSW)
Entity Type:Individual
Prefix:
First Name:DEVON
Middle Name:T
Last Name:HILLISON
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 1:8950 W TROPICANA AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89147-8138
Mailing Address - Country:US
Mailing Address - Phone:022-408-6397
Mailing Address - Fax:
Practice Address - Street 1:8950 W TROPICANA AVE STE 1
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89147-8138
Practice Address - Country:US
Practice Address - Phone:022-408-6397
Practice Address - Fax:702-268-7732
Is Sole Proprietor?:No
Enumeration Date:2020-06-18
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical