Provider Demographics
NPI:1770975104
Name:HILTON, HEATHER (MA CAGS)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:
Last Name:HILTON
Suffix:
Gender:F
Credentials:MA CAGS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 SOCKANOSSET CROSS RD
Mailing Address - Street 2:STE 6
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02920-5535
Mailing Address - Country:US
Mailing Address - Phone:401-383-4885
Mailing Address - Fax:401-383-4379
Practice Address - Street 1:35 SOCKANOSSET CROSS RD
Practice Address - Street 2:STE 6
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02920-5535
Practice Address - Country:US
Practice Address - Phone:401-383-4885
Practice Address - Fax:401-383-4379
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-23
Last Update Date:2015-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor