Provider Demographics
NPI:1639718901
Name:HILL, PAYTON SARAH (LPCA)
Entity Type:Individual
Prefix:
First Name:PAYTON
Middle Name:SARAH
Last Name:HILL
Suffix:
Gender:F
Credentials:LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1225 FAIRVIEW CLUB DR
Mailing Address - Street 2:
Mailing Address - City:WAKE FOREST
Mailing Address - State:NC
Mailing Address - Zip Code:27587-4234
Mailing Address - Country:US
Mailing Address - Phone:919-369-8216
Mailing Address - Fax:
Practice Address - Street 1:1225 FAIRVIEW CLUB DR
Practice Address - Street 2:
Practice Address - City:WAKE FOREST
Practice Address - State:NC
Practice Address - Zip Code:27587-4234
Practice Address - Country:US
Practice Address - Phone:919-369-8216
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-03
Last Update Date:2020-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA15191101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health