MEDICARE: MRS. RACHEL H. HILLMER M.S., L.P.C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	2011032418	MO

General Provider Information

NPI Number	:	1548673924
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. RACHEL H. HILLMER M.S., L.P.C

Provider Business Mailing Address
First Line	:	898 N SPIRIT VALLEY CT
Second Line	:
City	:	NIXA
State	:	MO
Zip	:	65714-8933
Country	:	US
Telephone Number	:	417-724-1254
Fax Number	:

Provider Business Practice Location Address
First Line	:	3710 S JEFFERSON AVE
Second Line	:
City	:	SPRINGFIELD
State	:	MO
Zip	:	65807-5227
Country	:	US
Telephone Number	:	417-523-8563
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2014
Last Update Date	:	06/03/2014

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