Provider Demographics
NPI:1275846271
Name:HILL, MARY MARGARET (LPC)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:MARGARET
Last Name:HILL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1050 SHILOH RD NW STE 316
Mailing Address - Street 2:
Mailing Address - City:KENNESAW
Mailing Address - State:GA
Mailing Address - Zip Code:30144-8100
Mailing Address - Country:US
Mailing Address - Phone:678-213-2194
Mailing Address - Fax:678-213-2215
Practice Address - Street 1:1050 SHILOH RD NW STE 316
Practice Address - Street 2:
Practice Address - City:KENNESAW
Practice Address - State:GA
Practice Address - Zip Code:30144-8100
Practice Address - Country:US
Practice Address - Phone:678-213-2194
Practice Address - Fax:678-213-2215
Is Sole Proprietor?:No
Enumeration Date:2010-07-19
Last Update Date:2010-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC002045101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional