Provider Demographics
NPI:1164074571
Name:RAINEY, EARNESTINE HILSON (LPC, LMHC, NCC)
Entity Type:Individual
Prefix:
First Name:EARNESTINE
Middle Name:HILSON
Last Name:RAINEY
Suffix:
Gender:F
Credentials:LPC, LMHC, NCC
Other - Prefix:
Other - First Name:EARNESTINE
Other - Middle Name:
Other - Last Name:HILSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:168 GRAYSON AVE
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31419-8147
Mailing Address - Country:US
Mailing Address - Phone:478-484-6991
Mailing Address - Fax:
Practice Address - Street 1:168 GRAYSON AVE
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31419-8147
Practice Address - Country:US
Practice Address - Phone:478-484-6991
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-15
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
GALPC010563101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health