Provider Demographics
NPI:1588938872
Name:HILLARD, LISA ANNETTE (LPC)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:ANNETTE
Last Name:HILLARD
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 73
Mailing Address - Street 2:
Mailing Address - City:LA PLACE
Mailing Address - State:LA
Mailing Address - Zip Code:70069-0073
Mailing Address - Country:US
Mailing Address - Phone:504-810-5600
Mailing Address - Fax:999-999-9999
Practice Address - Street 1:425 W AIRLINE HWY STE D
Practice Address - Street 2:
Practice Address - City:LA PLACE
Practice Address - State:LA
Practice Address - Zip Code:70068-3825
Practice Address - Country:US
Practice Address - Phone:504-810-5600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-03
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA4178101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional