Provider Demographics
NPI:1124496518
Name:BRUNDIGE, HILLARY GEAN (PHD, LPC-S)
Entity type:Individual
Prefix:
First Name:HILLARY
Middle Name:GEAN
Last Name:BRUNDIGE
Suffix:
Gender:F
Credentials:PHD, LPC-S
Other - Prefix:
Other - First Name:HILLARY
Other - Middle Name:GEAN
Other - Last Name:NETTERVILLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:416 S. ELM ST
Mailing Address - Street 2:STE 101
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76201
Mailing Address - Country:US
Mailing Address - Phone:469-850-2156
Mailing Address - Fax:
Practice Address - Street 1:416 S. ELM ST
Practice Address - Street 2:STE 101
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201
Practice Address - Country:US
Practice Address - Phone:469-850-2156
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-02
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX70635101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor