Provider Demographics
NPI:1942342688
Name:HILBIG, DONNA M (LPC)
Entity Type:Individual
Prefix:MS
First Name:DONNA
Middle Name:M
Last Name:HILBIG
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 1:1009 N EARL RUDDER FWY
Mailing Address - Street 2:
Mailing Address - City:BRYAN
Mailing Address - State:TX
Mailing Address - Zip Code:77802-2959
Mailing Address - Country:US
Mailing Address - Phone:979-393-0163
Mailing Address - Fax:979-393-0164
Practice Address - Street 1:3370 S TEXAS AVE
Practice Address - Street 2:#B
Practice Address - City:BRYAN
Practice Address - State:TX
Practice Address - Zip Code:77802
Practice Address - Country:US
Practice Address - Phone:979-595-1700
Practice Address - Fax:979-595-1740
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2018-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14114101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1275726853OtherNPI CS
TX000951607Medicaid
TX0959983-01Medicaid
TX154467801Medicaid
TX154467803Medicaid
TX000951608Medicaid
TX1568519122OtherNPI LEON
TX349703-000OtherMAGELLAN
TX1750470084OtherNPI MADISON
TX1275620551OtherNPI ROBERTSON
TX187842301Medicaid
TX741715140OtherTAX ID
TX9400373OtherPHCS
TX112291342OtherUNITED BEHAVIORAL HEALTH
TX1700973187OtherNPI GRIMES
TX1821185299OtherNPI BVCAA AGENCY
TX349703-000OtherMAGELLAN
TX671848Medicare Oscar/Certification
TX741715140OtherTAX ID
TX000951608Medicaid
TX154467803Medicaid
TX451981Medicare Oscar/Certification