Provider Demographics
NPI:1215702063
Name:HILLARD, DARIN
Entity type:Individual
Prefix:
First Name:DARIN
Middle Name:
Last Name:HILLARD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4213 EUCLID AVE APT A1
Mailing Address - Street 2:
Mailing Address - City:EAST CHICAGO
Mailing Address - State:IN
Mailing Address - Zip Code:46312-4158
Mailing Address - Country:US
Mailing Address - Phone:219-810-2407
Mailing Address - Fax:
Practice Address - Street 1:4213 EUCLID AVE APT A1
Practice Address - Street 2:
Practice Address - City:EAST CHICAGO
Practice Address - State:IN
Practice Address - Zip Code:46312-4158
Practice Address - Country:US
Practice Address - Phone:219-810-2407
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-21
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)