Healthcare Provider Details

I. General information

NPI: 1992076897
Provider Name (Legal Business Name): DR. HEIDI HILLMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/24/2012
Last Update Date: 05/24/2022
Certification Date: 05/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

506 N 29TH PL
YAKIMA WA
98902-1076
US

IV. Provider business mailing address

720 BUENA VISTA ST
CHENEY WA
99004-1319
US

V. Phone/Fax

Practice location:
  • Phone: 509-494-3010
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: