Provider Demographics
NPI:1487838777
Name:HILL, DE'LISA MICHAELLE' (LPC)
Entity Type:Individual
Prefix:MS
First Name:DE'LISA
Middle Name:MICHAELLE'
Last Name:HILL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MRS
Other - First Name:DE'LISA
Other - Middle Name:MICHAELLE'
Other - Last Name:OSLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7751 ACC BLVD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27617-8631
Mailing Address - Country:US
Mailing Address - Phone:919-724-0255
Mailing Address - Fax:
Practice Address - Street 1:7751 ACC BLVD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27617-8631
Practice Address - Country:US
Practice Address - Phone:919-724-0255
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-21
Last Update Date:2012-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC#7718101YP2500X
NC#232196101YM0800X
NC232196101YM0800X
251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No251S00000XAgenciesCommunity/Behavioral Health