Provider Demographics
NPI:1821282450
Name:HILL-SIMEONE, LAUREL GERTRUDE JANE (LPC)
Entity Type:Individual
Prefix:MRS
First Name:LAUREL
Middle Name:GERTRUDE JANE
Last Name:HILL-SIMEONE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 27146
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27611-7146
Mailing Address - Country:US
Mailing Address - Phone:919-606-7325
Mailing Address - Fax:
Practice Address - Street 1:263 PENNY LN
Practice Address - Street 2:
Practice Address - City:PITTSBORO
Practice Address - State:NC
Practice Address - Zip Code:27312-4918
Practice Address - Country:US
Practice Address - Phone:919-968-8680
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-27
Last Update Date:2007-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3129101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6103305Medicaid