Healthcare Provider Details

I. General information

NPI: 1861325375
Provider Name (Legal Business Name): MELISSA HILDEBRAND, LCPC, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

126 N 30TH ST STE 200
QUINCY IL
62301-3719
US

IV. Provider business mailing address

126 N 30TH ST STE 200
QUINCY IL
62301-3719
US

V. Phone/Fax

Practice location:
  • Phone: 217-316-2888
  • Fax:
Mailing address:
  • Phone: 217-316-2888
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MELISSA ANN HILDEBRAND
Title or Position: THERAPIST/OWNER
Credential: LCPC
Phone: 217-316-2888