Healthcare Provider Details

I. General information

NPI: 1164346201
Provider Name (Legal Business Name): HILLARY MACAE BAIRETT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3530 DISCOVERY CREEK BLVD APT 2403
SPRING TX
77386-5517
US

IV. Provider business mailing address

3530 DISCOVERY CREEK BLVD APT 2403
SPRING TX
77386-5517
US

V. Phone/Fax

Practice location:
  • Phone: 832-359-5671
  • Fax:
Mailing address:
  • Phone: 832-359-5671
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number206535
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: