Provider Demographics
NPI:1639718901
Name:HILL, PAYTON SARAH (LCMHCA)
Entity type:Individual
Prefix:
First Name:PAYTON
Middle Name:SARAH
Last Name:HILL
Suffix:
Gender:
Credentials:LCMHCA
Other - Prefix:
Other - First Name:PAYTON
Other - Middle Name:SARAH
Other - Last Name:BAGLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCMHCA
Mailing Address - Street 1:128 HOLLY RD
Mailing Address - Street 2:
Mailing Address - City:PINE KNOLL SHORES
Mailing Address - State:NC
Mailing Address - Zip Code:28512-6720
Mailing Address - Country:US
Mailing Address - Phone:919-369-8216
Mailing Address - Fax:
Practice Address - Street 1:4251 ARENDELL ST STE E
Practice Address - Street 2:
Practice Address - City:MOREHEAD CITY
Practice Address - State:NC
Practice Address - Zip Code:28557-2871
Practice Address - Country:US
Practice Address - Phone:919-369-8216
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-03
Last Update Date:2025-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA21178101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health