Healthcare Provider Details

I. General information

NPI: 1023272697
Provider Name (Legal Business Name): MISS JULIE RENEE HILLWIG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JULIE RENEE HILLIWG MSED

II. Dates (important events)

Enumeration Date: 07/14/2008
Last Update Date: 11/27/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

814 E PITTSBURGH ST
GREENSBURG PA
15601-3502
US

IV. Provider business mailing address

223 N MAPLE AVE APT 1
GREENSBURG PA
15601-1830
US

V. Phone/Fax

Practice location:
  • Phone: 724-850-7200
  • Fax:
Mailing address:
  • Phone: 724-787-7100
  • Fax: 412-774-2187

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC004987
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: