Provider Demographics
NPI:1528207529
Name:HULL, EMILY HINES (MS, LPC)
Entity Type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:HINES
Last Name:HULL
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1227 BUCKINGHAM RD
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27408-7305
Mailing Address - Country:US
Mailing Address - Phone:336-272-2790
Mailing Address - Fax:
Practice Address - Street 1:1227 BUCKINGHAM RD
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27408-7305
Practice Address - Country:US
Practice Address - Phone:336-272-2790
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-13
Last Update Date:2009-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3377101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional