Provider Demographics
NPI:1043865405
Name:HILTON, PATRICIA LOGAN (RN, LCSW)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:LOGAN
Last Name:HILTON
Suffix:
Gender:F
Credentials:RN, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6006 BAYOU ROBERT DR
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71301-2667
Mailing Address - Country:US
Mailing Address - Phone:318-542-1155
Mailing Address - Fax:
Practice Address - Street 1:3750 PARLIAMENT DR
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71303-3011
Practice Address - Country:US
Practice Address - Phone:318-443-4466
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-02
Last Update Date:2019-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA74571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical