Provider Demographics
NPI:1851905798
Name:HILEMAN, CARLA RAE (LPC)
Entity Type:Individual
Prefix:
First Name:CARLA
Middle Name:RAE
Last Name:HILEMAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4026 MARLIN DR
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78418-3127
Mailing Address - Country:US
Mailing Address - Phone:361-945-9242
Mailing Address - Fax:
Practice Address - Street 1:921 N CHAPARRAL ST STE 220
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78401-2008
Practice Address - Country:US
Practice Address - Phone:361-945-9242
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-08
Last Update Date:2020-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX70552101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor