Provider Demographics
NPI:1164455945
Name:HILTS, DAROLYN (PHD)
Entity Type:Individual
Prefix:
First Name:DAROLYN
Middle Name:
Last Name:HILTS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5010 RANDALL PKWY
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28403-2829
Mailing Address - Country:US
Mailing Address - Phone:910-791-5719
Mailing Address - Fax:910-799-8180
Practice Address - Street 1:5010 RANDALL PKWY
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-2829
Practice Address - Country:US
Practice Address - Phone:910-791-5719
Practice Address - Fax:910-799-8180
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2377103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
147153OtherCOMPYCH
344366OtherMHN
68808OtherMEDCOST
NC6000332Medicaid
NC1128ROtherBLUE CROSS BLUE SHIELD
379531OtherMAMSI
2002337OtherCIGNA
276538/A800828OtherVALUE OPTIONS
9235109OtherPHCS
2002337OtherCIGNA BEHAVIORAL HEALTH
276538/A800828OtherVALUE OPTIONS