Provider Demographics
NPI:1447858667
Name:HENIZE, HILLARY GRACE (PSYD)
Entity type:Individual
Prefix:DR
First Name:HILLARY
Middle Name:GRACE
Last Name:HENIZE
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2014 CEDAR LN APT 202
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37212-5734
Mailing Address - Country:US
Mailing Address - Phone:513-675-1803
Mailing Address - Fax:
Practice Address - Street 1:155 FRANKLIN RD STE 135
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-4646
Practice Address - Country:US
Practice Address - Phone:513-675-1803
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-09
Last Update Date:2020-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist