Provider Demographics
NPI:1366714230
Name:GOULDING, HILARY ALLYSON (MMFT)
Entity type:Individual
Prefix:MRS
First Name:HILARY
Middle Name:ALLYSON
Last Name:GOULDING
Suffix:
Gender:F
Credentials:MMFT
Other - Prefix:MISS
Other - First Name:HILARY
Other - Middle Name:ALLYSON
Other - Last Name:HAYES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MMFT
Mailing Address - Street 1:627 N WEBER ST
Mailing Address - Street 2:SUITE 3
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80903-1063
Mailing Address - Country:US
Mailing Address - Phone:719-425-9914
Mailing Address - Fax:
Practice Address - Street 1:627 N WEBER ST
Practice Address - Street 2:SUITE 3
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80903-1063
Practice Address - Country:US
Practice Address - Phone:719-425-9914
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-07
Last Update Date:2016-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT88204106H00000X
COMFT.0001323106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist