Provider Demographics
NPI:1801154216
Name:HILL, MARY FRANCES (LPCA)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:FRANCES
Last Name:HILL
Suffix:
Gender:F
Credentials:LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1920 E NC HIGHWAY 54
Mailing Address - Street 2:SUITE 110
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-2293
Mailing Address - Country:US
Mailing Address - Phone:919-886-6056
Mailing Address - Fax:877-786-5369
Practice Address - Street 1:1920 E NC HIGHWAY 54
Practice Address - Street 2:SUITE 110
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-2293
Practice Address - Country:US
Practice Address - Phone:919-886-6056
Practice Address - Fax:877-786-5369
Is Sole Proprietor?:No
Enumeration Date:2012-04-24
Last Update Date:2014-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8431101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8431OtherNCBLPC