Provider Demographics
NPI:1730861162
Name:DWYER, HILARY ANN (LPC-A)
Entity type:Individual
Prefix:
First Name:HILARY
Middle Name:ANN
Last Name:DWYER
Suffix:
Gender:F
Credentials:LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1567 CALLAHAN RD
Mailing Address - Street 2:
Mailing Address - City:FORT MILL
Mailing Address - State:SC
Mailing Address - Zip Code:29715-7600
Mailing Address - Country:US
Mailing Address - Phone:803-609-2276
Mailing Address - Fax:
Practice Address - Street 1:1567 CALLAHAN RD
Practice Address - Street 2:
Practice Address - City:FORT MILL
Practice Address - State:SC
Practice Address - Zip Code:29715-7600
Practice Address - Country:US
Practice Address - Phone:803-609-2276
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-04
Last Update Date:2023-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4783101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional