Provider Demographics
NPI:1851905806
Name:REMAILY, HILAH NEISHA
Entity Type:Individual
Prefix:
First Name:HILAH
Middle Name:NEISHA
Last Name:REMAILY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:742 S BERMONT AVE
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CO
Mailing Address - Zip Code:80026-1519
Mailing Address - Country:US
Mailing Address - Phone:303-350-8986
Mailing Address - Fax:
Practice Address - Street 1:1610 LEE HILL RD
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80304-0881
Practice Address - Country:US
Practice Address - Phone:720-504-5733
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-06
Last Update Date:2020-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0014176101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor