Healthcare Provider Details

I. General information

NPI: 1871418723
Provider Name (Legal Business Name): ISABELLA BILLEGAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2005 VALPARAISO ST STE 209
VALPARAISO IN
46383-3331
US

IV. Provider business mailing address

506 RAILROAD ST
HAMLET IN
46532-7727
US

V. Phone/Fax

Practice location:
  • Phone: 219-252-5464
  • Fax:
Mailing address:
  • Phone: 574-780-5256
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: