Provider Demographics
NPI:1326317850
Name:FERDINAND, HILLERY C (LPC, NCC, DCC)
Entity Type:Individual
Prefix:MRS
First Name:HILLERY
Middle Name:C
Last Name:FERDINAND
Suffix:
Gender:F
Credentials:LPC, NCC, DCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7134
Mailing Address - Street 2:
Mailing Address - City:DOUGLASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30154-0036
Mailing Address - Country:US
Mailing Address - Phone:678-852-1583
Mailing Address - Fax:
Practice Address - Street 1:3548 HABERSHAM AT NORTHLAKE
Practice Address - Street 2:BLDG. F
Practice Address - City:TUCKER
Practice Address - State:GA
Practice Address - Zip Code:30084-4009
Practice Address - Country:US
Practice Address - Phone:678-406-9707
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAPC002993101YP2500X
GALPC008639101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional