Provider Demographics
NPI:1194481747
Name:HIERS, KATIE (MS)
Entity type:Individual
Prefix:
First Name:KATIE
Middle Name:
Last Name:HIERS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 SCHOOL ST
Mailing Address - Street 2:
Mailing Address - City:HINSDALE
Mailing Address - State:NH
Mailing Address - Zip Code:03451-2389
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:12 SCHOOL ST
Practice Address - Street 2:
Practice Address - City:HINSDALE
Practice Address - State:NH
Practice Address - Zip Code:03451-2389
Practice Address - Country:US
Practice Address - Phone:603-336-5332
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-09
Last Update Date:2021-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH122050101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool