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NPI Code Detail

MEDICARE: TONY HILLIARD

MEDICARE: TONY HILLIARD
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 Counselor
2171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1972040327
Entity Type Code : Individual
Provider Name (Legal Business Name) : TONY HILLIARD
Provider Business Mailing Address
First Line : 1817 CONTI ST
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70112-3607
Country : US
Telephone Number : 504-784-8393
Fax Number :
Provider Business Practice Location Address
First Line : 1817 CONTI ST
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70112
Country : US
Telephone Number : 504-784-8393
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2017
Last Update Date : 05/14/2018

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Directions to “ TONY HILLIARD ” Practice Location

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