1942733449 NPI number — MS. RANDY JO WINSTON-HILLIER LMFT

Table of content: MS. RANDY JO WINSTON-HILLIER LMFT (NPI 1942733449)

General
Organization/Personal Information
Provider's Other Name Information
NPI Number Information
Provider's Business Mailing Address
Provider's Practice Location Mailing Address
Additional Information
Authorized Official
Provider Taxonomy Codes
Other Provider's Identifiers (legacy, non-NPI)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942733449 NPI number — MS. RANDY JO WINSTON-HILLIER LMFT

Organization/Personal Information

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:
WINSTON-HILLIER

Provider First Name:
RANDY

Provider Middle Name:
JO

Provider Name Prefix Text:
MS.

Provider Name Suffix Text:

Provider Credential Text:
LMFT

Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:

Provider Other Organization Name Type Code:

Provider Other Last Name:
HILLIER

Provider Other First Name:
RANDY

Provider Other Middle Name:
JO

Provider Other Name Prefix Text:
MS.

Provider Other Name Suffix Text:

Provider Other Credential Text:

Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1942733449

Entity Type Code:
Individual

Replacement NPI:

Last Update Date:
04/11/2017

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
700 NO. PACIFIC COAST HWY

Provider Second Line Business Mailing Address:
#303

Provider Business Mailing Address City Name:
REDONDO BEACH

Provider Business Mailing Address State Name:
CA

Provider Business Mailing Address Postal Code:
90277-9998

Provider Business Mailing Address Country Code:
US

Provider Business Mailing Address Telephone Number:
310-540-4867

Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
700 NO. PACIFIC COAST HWY

Provider Second Line Business Practice Location Address:
#303

Provider Business Practice Location Address City Name:
REDONDO BEACH

Provider Business Practice Location Address State Name:
CA

Provider Business Practice Location Address Postal Code:
90277-9998

Provider Business Practice Location Address Country Code:
US

Provider Business Practice Location Address Telephone Number:
310-540-4867

Provider Business Practice Location Address Fax Number:

Provider Enumeration Date:
04/11/2017

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: 106H00000X , with the licence number: MM17178 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .