Provider Demographics
NPI:1295991743
Name:HILLING, ALEXIS DAWN (LPC)
Entity type:Individual
Prefix:MRS
First Name:ALEXIS
Middle Name:DAWN
Last Name:HILLING
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:ALEXIS
Other - Middle Name:DAWN
Other - Last Name:GALLO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5051 APPLE ORCHARD LN
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:GA
Mailing Address - Zip Code:30115-8377
Mailing Address - Country:US
Mailing Address - Phone:678-938-9240
Mailing Address - Fax:678-938-9240
Practice Address - Street 1:5051 APPLE ORCHARD LN
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:GA
Practice Address - Zip Code:30115-8377
Practice Address - Country:US
Practice Address - Phone:678-938-9240
Practice Address - Fax:678-938-9240
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-04
Last Update Date:2014-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC005315101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional