Provider Demographics
NPI:1306682877
Name:SAINT HILAIRE, MARIE
Entity type:Individual
Prefix:
First Name:MARIE
Middle Name:
Last Name:SAINT HILAIRE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:412 SE FAITH TER
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34983-3242
Mailing Address - Country:US
Mailing Address - Phone:561-502-0878
Mailing Address - Fax:
Practice Address - Street 1:412 SE FAITH TER
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34983-3242
Practice Address - Country:US
Practice Address - Phone:561-502-0878
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-03
Last Update Date:2024-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL15-1731251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services