Provider Demographics
NPI:1609762483
Name:HILL, XAVIER (LMHC, LPC)
Entity type:Individual
Prefix:MR
First Name:XAVIER
Middle Name:
Last Name:HILL
Suffix:
Gender:M
Credentials:LMHC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 WEXHURST RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29212-8514
Mailing Address - Country:US
Mailing Address - Phone:803-944-3365
Mailing Address - Fax:
Practice Address - Street 1:11650 GRAN CRIQUE CT N
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32223-0813
Practice Address - Country:US
Practice Address - Phone:803-944-3365
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-17
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC101YM0800X
FL101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health