1053461202 NPI number — DR. JUANITA ANNE VOLKER HILBERS LPC CEAP CAC NCC

Table of content: DR. JUANITA ANNE VOLKER HILBERS LPC CEAP CAC NCC (NPI 1053461202)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1053461202 NPI number — DR. JUANITA ANNE VOLKER HILBERS LPC CEAP CAC NCC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HILBERS
Provider First Name:
JUANITA
Provider Middle Name:
ANNE VOLKER
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
LPC CEAP CAC NCC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
HILBERS
Provider Other First Name:
ANNE
Provider Other Middle Name:
V
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
PHD
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1053461202
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 19535
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BIRMINGHAM
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
35219
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
205-870-9199
Provider Business Mailing Address Fax Number:
205-933-9919

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
200 OFFICE PARK DRIVE
Provider Second Line Business Practice Location Address:
SUITE #215
Provider Business Practice Location Address City Name:
BIRMINGHAM
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35223
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
205-870-9199
Provider Business Practice Location Address Fax Number:
205-933-9919
Provider Enumeration Date:
01/11/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101Y00000X , with the licence number:  LPC473 , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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