Provider Demographics
NPI:1700356581
Name:GARLICK, HILARY
Entity type:Individual
Prefix:
First Name:HILARY
Middle Name:
Last Name:GARLICK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1111 WASHINGTON AVE STE 220
Mailing Address - Street 2:
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80401-1162
Mailing Address - Country:US
Mailing Address - Phone:720-441-2410
Mailing Address - Fax:
Practice Address - Street 1:1111 WASHINGTON AVE STE 220
Practice Address - Street 2:
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80401-1162
Practice Address - Country:US
Practice Address - Phone:720-441-2410
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-05
Last Update Date:2018-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW.099256091041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical