Provider Demographics
NPI:1730817693
Name:HILDEBRAND, DANA DENISE (LPC)
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:DENISE
Last Name:HILDEBRAND
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:DANA
Other - Middle Name:DENISE
Other - Last Name:HILDEBRAND
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:1226 RUSTIC TRL
Mailing Address - Street 2:
Mailing Address - City:SALADO
Mailing Address - State:TX
Mailing Address - Zip Code:76571-6215
Mailing Address - Country:US
Mailing Address - Phone:512-627-0566
Mailing Address - Fax:
Practice Address - Street 1:3010 SCOTT BLVD STE 103
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76504-6803
Practice Address - Country:US
Practice Address - Phone:844-824-8775
Practice Address - Fax:281-648-2200
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-09
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX89073101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health