MEDICARE: TALYA HILLINGER MS, 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
1	101YM0800X	Mental Health Counselor	10981	FL

General Provider Information

NPI Number	:	1427318161
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TALYA HILLINGER MS, LMHC

Provider Business Mailing Address
First Line	:	1810 N 50TH AVE
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021-4014
Country	:	US
Telephone Number	:	786-525-7980
Fax Number	:

Provider Business Practice Location Address
First Line	:	423 SE 19TH ST
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33316-2841
Country	:	US
Telephone Number	:	786-525-7980
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/28/2012
Last Update Date	:	05/28/2012

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