Provider Demographics
NPI:1982752457
Name:HILGERS, DAPHNE L (LPC)
Entity Type:Individual
Prefix:MRS
First Name:DAPHNE
Middle Name:L
Last Name:HILGERS
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 1:705 N WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:LA GRANGE
Mailing Address - State:TX
Mailing Address - Zip Code:78945-1665
Mailing Address - Country:US
Mailing Address - Phone:979-966-3618
Mailing Address - Fax:
Practice Address - Street 1:203 W TRAVIS ST # 4
Practice Address - Street 2:
Practice Address - City:LA GRANGE
Practice Address - State:TX
Practice Address - Zip Code:78945-2622
Practice Address - Country:US
Practice Address - Phone:979-966-3618
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17833101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX7287LCOtherBCBS PROVIDER #