Provider Demographics
NPI:1225288665
Name:HILEMAN, LINDA S (LPC, LCAS)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:S
Last Name:HILEMAN
Suffix:
Gender:F
Credentials:LPC, LCAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3713 RICHFIELD RD
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410-2111
Mailing Address - Country:US
Mailing Address - Phone:336-288-1484
Mailing Address - Fax:336-288-0738
Practice Address - Street 1:3713 RICHFIELD RD
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27410-2111
Practice Address - Country:US
Practice Address - Phone:336-288-3713
Practice Address - Fax:336-288-0738
Is Sole Proprietor?:No
Enumeration Date:2008-09-23
Last Update Date:2013-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7133101YM0800X
NC1996174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6104028Medicaid