Provider Demographics
NPI:1538239991
Name:HILYARD, DEBORAH K (LMHC, NCC)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:K
Last Name:HILYARD
Suffix:
Gender:F
Credentials:LMHC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 SURFVIEW DR APT 619
Mailing Address - Street 2:
Mailing Address - City:PALM COAST
Mailing Address - State:FL
Mailing Address - Zip Code:32137-5316
Mailing Address - Country:US
Mailing Address - Phone:904-233-0828
Mailing Address - Fax:386-597-2284
Practice Address - Street 1:60 SURFVIEW DR APT 619
Practice Address - Street 2:
Practice Address - City:PALM COAST
Practice Address - State:FL
Practice Address - Zip Code:32137-5316
Practice Address - Country:US
Practice Address - Phone:904-233-0828
Practice Address - Fax:386-597-2284
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-09
Last Update Date:2009-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 4832101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL763273800Medicaid