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NPI Code Detail

MEDICARE: MS. ELIZABETH ANN HILGREEN LMHC

MEDICARE: MS. ELIZABETH ANN HILGREEN LMHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorMH14161FL
2101YM0800XMental Health Counselor005653-1NY

General Provider Information

NPI Number : 1023442787
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ELIZABETH ANN HILGREEN LMHC
Provider Business Mailing Address
First Line : 12424 BRANTLEY COMMONS CT
Second Line :
City : FORT MYERS
State : FL
Zip : 33907-5680
Country : US
Telephone Number : 239-994-9315
Fax Number :
Provider Business Practice Location Address
First Line : 12424 BRANTLEY COMMONS CT
Second Line :
City : FORT MYERS
State : FL
Zip : 33907-5680
Country : US
Telephone Number : 239-994-9315
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2013
Last Update Date : 06/07/2016

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