Provider Demographics
NPI:1184140923
Name:HILTON, JAIME COLLINS (LCSW)
Entity type:Individual
Prefix:MRS
First Name:JAIME
Middle Name:COLLINS
Last Name:HILTON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:JAIME
Other - Middle Name:FLORES
Other - Last Name:COLLINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:14056 PARK TERRACE DR
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70810-0461
Mailing Address - Country:US
Mailing Address - Phone:225-772-0402
Mailing Address - Fax:
Practice Address - Street 1:10517 KENTSHIRE CT
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70810-2853
Practice Address - Country:US
Practice Address - Phone:225-456-2884
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-14
Last Update Date:2017-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA11102104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty