Provider Demographics
NPI:1548969868
Name:HILLIARD, DOROTHY AMOS (LMFTA)
Entity type:Individual
Prefix:
First Name:DOROTHY
Middle Name:AMOS
Last Name:HILLIARD
Suffix:
Gender:F
Credentials:LMFTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1029 BATCHELOR RD
Mailing Address - Street 2:
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27523-5718
Mailing Address - Country:US
Mailing Address - Phone:919-801-6129
Mailing Address - Fax:
Practice Address - Street 1:1029 BATCHELOR RD
Practice Address - Street 2:
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27523-5718
Practice Address - Country:US
Practice Address - Phone:919-801-6129
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-24
Last Update Date:2023-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC12418A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health