Provider Demographics
NPI:1265694517
Name:MUSGROVE, HILARY (LPC)
Entity type:Individual
Prefix:
First Name:HILARY
Middle Name:
Last Name:MUSGROVE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:HILARY
Other - Middle Name:
Other - Last Name:FAUST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:966 W MAIN ST STE 1
Mailing Address - Street 2:
Mailing Address - City:ABINGDON
Mailing Address - State:VA
Mailing Address - Zip Code:24210-2483
Mailing Address - Country:US
Mailing Address - Phone:276-206-8321
Mailing Address - Fax:888-548-4146
Practice Address - Street 1:966 W MAIN ST
Practice Address - Street 2:
Practice Address - City:ABINGDON
Practice Address - State:VA
Practice Address - Zip Code:24210-2483
Practice Address - Country:US
Practice Address - Phone:276-207-8321
Practice Address - Fax:888-548-4146
Is Sole Proprietor?:No
Enumeration Date:2008-06-27
Last Update Date:2023-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3697678OtherMEDICARE
TN3013231Medicaid