Provider Demographics
NPI:1407002447
Name:HILEWSKY, ALISA MARIE (PSYD, LP, LPC)
Entity type:Individual
Prefix:
First Name:ALISA
Middle Name:MARIE
Last Name:HILEWSKY
Suffix:
Gender:F
Credentials:PSYD, LP, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31201 CHICAGO RD S STE A201
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48093-5552
Mailing Address - Country:US
Mailing Address - Phone:248-543-0033
Mailing Address - Fax:248-548-5309
Practice Address - Street 1:31201 CHICAGO RD S STE A201
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48093-5552
Practice Address - Country:US
Practice Address - Phone:248-543-0033
Practice Address - Fax:248-548-5309
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-11
Last Update Date:2024-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301013924103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist