Provider Demographics
NPI:1396456026
Name:HILLIER, RENEE LYNETTE (BASW)
Entity type:Individual
Prefix:
First Name:RENEE
Middle Name:LYNETTE
Last Name:HILLIER
Suffix:
Gender:F
Credentials:BASW
Other - Prefix:
Other - First Name:RENEE
Other - Middle Name:
Other - Last Name:LEVASSEUR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3508 SILVER TRAILS DR
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80526-6448
Mailing Address - Country:US
Mailing Address - Phone:810-623-2718
Mailing Address - Fax:
Practice Address - Street 1:3508 SILVER TRAILS DR
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80526-6448
Practice Address - Country:US
Practice Address - Phone:810-623-2718
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-13
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician