=====================================================
General NPI Number Information
=====================================================
NPI Number | 1871467431
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HILLTOP COUNSELING, PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/06/2025
-----------------------------------------------------
Last Update Date | 10/06/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 960 17TH AVE SW
-----------------------------------------------------
City | MOUNT VERNON
-----------------------------------------------------
State | IA
-----------------------------------------------------
Zip | 52314-9201
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 540-834-6059
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 960 17TH AVE SW
-----------------------------------------------------
City | MOUNT VERNON
-----------------------------------------------------
State | IA
-----------------------------------------------------
Zip | 52314-9201
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 540-834-6059
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MENTAL HEALTH COUNSELOR
-----------------------------------------------------
Name | TAYLOR ULLRICH
-----------------------------------------------------
Credential | LMHC
-----------------------------------------------------
Telephone | 540-834-6059
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------