Provider Demographics
NPI:1861172181
Name:BOERSMA, HILLARY RAE (BA, CLC)
Entity type:Individual
Prefix:
First Name:HILLARY
Middle Name:RAE
Last Name:BOERSMA
Suffix:
Gender:F
Credentials:BA, CLC
Other - Prefix:
Other - First Name:HILLARY
Other - Middle Name:RAE
Other - Last Name:KURTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BA
Mailing Address - Street 1:18864 80TH AVE
Mailing Address - Street 2:
Mailing Address - City:COOPERSVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:49404-9405
Mailing Address - Country:US
Mailing Address - Phone:616-550-8081
Mailing Address - Fax:
Practice Address - Street 1:1115 BALL AVE NE
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49505-5904
Practice Address - Country:US
Practice Address - Phone:616-550-8081
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-21
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker