Provider Demographics
NPI:1821288838
Name:HILLIARD, DORIS F (LPC 2/28/2008)
Entity Type:Individual
Prefix:
First Name:DORIS
Middle Name:F
Last Name:HILLIARD
Suffix:
Gender:F
Credentials:LPC 2/28/2008
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:EVIDENCE OF GRACE COUNSELING CTR.
Mailing Address - Street 2:803 CASTROVILLE RD. STE. #413
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78237
Mailing Address - Country:US
Mailing Address - Phone:210-436-2339
Mailing Address - Fax:210-436-2329
Practice Address - Street 1:803 CASTROVILLE RD
Practice Address - Street 2:STE. #413
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78237-3153
Practice Address - Country:US
Practice Address - Phone:210-436-2339
Practice Address - Fax:210-436-2329
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-26
Last Update Date:2007-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX20299101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor