| Shirley Hilliard Lcsw Pllc | |
|
1403 43rd Ave Gulfport MS 39501-2545 | |
| (228) 285-5247 | |
| Not Available |
| Full Name | Shirley Hilliard Lcsw Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 1403 43rd Ave, Gulfport, Mississippi |
| Authorized Official Name and Position | Shirley Hilliard (OWNER) |
| Authorized Official Contact | 2282855247 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shirley Hilliard Lcsw Pllc Po Box 2294 Gulfport MS 39505-2294 Ph: (228) 285-5247 | Shirley Hilliard Lcsw Pllc 1403 43rd Ave Gulfport MS 39501-2545 Ph: (228) 285-5247 |
| NPI Number | 1629643432 |
|---|---|
| Provider Enumeration Date | 05/24/2021 |
| Last Update Date | 05/27/2021 |
| Certification Date | 05/27/2021 |
| Medicare PECOS PAC ID | 7315341880 |
|---|---|
| Medicare Enrollment ID | O20210805000090 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629643432 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Shirley Ann Hilliard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679668644 PECOS PAC ID: 1658592951 Enrollment ID: I20141030002038 |
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