Provider Demographics
NPI:1275885246
Name:LITTLE, HILLARY JACKSON (MS, LCMHC)
Entity Type:Individual
Prefix:MS
First Name:HILLARY
Middle Name:JACKSON
Last Name:LITTLE
Suffix:
Gender:F
Credentials:MS, LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 SOUTH GREENSBORO STREET
Mailing Address - Street 2:SUITE C-6
Mailing Address - City:CARRBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27510-1833
Mailing Address - Country:US
Mailing Address - Phone:919-218-5472
Mailing Address - Fax:919-942-7379
Practice Address - Street 1:200 SOUTH GREENSBORO STREET
Practice Address - Street 2:SUITE C-6
Practice Address - City:CARRBORO
Practice Address - State:NC
Practice Address - Zip Code:27510-1833
Practice Address - Country:US
Practice Address - Phone:919-218-5472
Practice Address - Fax:919-942-7379
Is Sole Proprietor?:No
Enumeration Date:2012-10-15
Last Update Date:2022-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA9368101YP2500X
NC16471101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC16471OtherNC BOARD OF LICENSED CLINICAL MENTAL HEALTH COUNSELORS
NCA9368OtherNC BOARD OF LICENSED PROFESSIONAL COUNSELORS