Provider Demographics
NPI:1245894773
Name:HILARY A CURTIS LLC
Entity type:Organization
Organization Name:HILARY A CURTIS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HILARY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:CURTIS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LMHC
Authorized Official - Phone:508-808-1157
Mailing Address - Street 1:190 GROTON RD STE 230
Mailing Address - Street 2:
Mailing Address - City:AYER
Mailing Address - State:MA
Mailing Address - Zip Code:01432-1189
Mailing Address - Country:US
Mailing Address - Phone:789-796-5054
Mailing Address - Fax:
Practice Address - Street 1:190 GROTON RD STE 230
Practice Address - Street 2:
Practice Address - City:AYER
Practice Address - State:MA
Practice Address - Zip Code:01432-1189
Practice Address - Country:US
Practice Address - Phone:789-796-5054
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-30
Last Update Date:2019-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA004024Medicaid