Provider Demographics
NPI:1588829790
Name:LOGAN, HILLARY GRACE (PLCSW)
Entity type:Individual
Prefix:
First Name:HILLARY
Middle Name:GRACE
Last Name:LOGAN
Suffix:
Gender:F
Credentials:PLCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 MERRIMON AVE STE 1B
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-2352
Mailing Address - Country:US
Mailing Address - Phone:828-279-4985
Mailing Address - Fax:
Practice Address - Street 1:44 MERRIMON AVE STE 1B
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-2352
Practice Address - Country:US
Practice Address - Phone:828-279-4985
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-28
Last Update Date:2025-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0045611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical