Provider Demographics
NPI:1427508225
Name:HILTIBRAN, RENAE (LPCC)
Entity type:Individual
Prefix:MRS
First Name:RENAE
Middle Name:
Last Name:HILTIBRAN
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:649 PLEASANT HILL DR
Mailing Address - Street 2:
Mailing Address - City:HARRODSBURG
Mailing Address - State:KY
Mailing Address - Zip Code:40330-9758
Mailing Address - Country:US
Mailing Address - Phone:859-338-7337
Mailing Address - Fax:859-254-2075
Practice Address - Street 1:100 S MAIN ST
Practice Address - Street 2:
Practice Address - City:HARRODSBURG
Practice Address - State:KY
Practice Address - Zip Code:40330-1633
Practice Address - Country:US
Practice Address - Phone:859-613-8178
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-05
Last Update Date:2019-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY168495101YM0800X
KY247655101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health