CAITLIN HILLIS NPI 1912412099

NPI Information

NPI: 1912412099
Provider Name: CAITLIN HILLIS
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
4100 SPIRIT LAKE RD STE 4
WINTER HAVEN, FL
ZIP 33880
Phone: (863) 800-0758
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Caitlin Hillis is a mental health counselor in Winter Haven, FL. Caitlin Hillis NPI is 1912412099. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4100 SPIRIT LAKE RD STE 4
WINTER HAVEN, FL
ZIP 33880-081
Phone: (863) 800-0758
Fax: (863) 937-9659

The enumeration date for this NPI number is 12/11/2017 and was last updated on 11/15/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	MH17598	FLORIDA	Yes
2	101YM0800X	Counselor	Mental Health	IMH16594	FLORIDA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1084021-00	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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