Provider Demographics
NPI:1134674922
Name:HILLIS, GEORGE ANDREW JAMES (LPC)
Entity Type:Individual
Prefix:
First Name:GEORGE
Middle Name:ANDREW JAMES
Last Name:HILLIS
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8824 GLEN HOLLOW DR
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76179-2910
Mailing Address - Country:US
Mailing Address - Phone:817-504-7442
Mailing Address - Fax:
Practice Address - Street 1:1024 RIDGE RD
Practice Address - Street 2:
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75087-4200
Practice Address - Country:US
Practice Address - Phone:972-827-7219
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-22
Last Update Date:2021-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX75215101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health