Provider Demographics
NPI:1336534965
Name:HILL, MAURICE CHRISTOPHER (LPC)
Entity Type:Individual
Prefix:
First Name:MAURICE
Middle Name:CHRISTOPHER
Last Name:HILL
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1333 CEDAR GROVE RD
Mailing Address - Street 2:#311
Mailing Address - City:CONLEY
Mailing Address - State:GA
Mailing Address - Zip Code:30288-2563
Mailing Address - Country:US
Mailing Address - Phone:678-754-8000
Mailing Address - Fax:404-920-2664
Practice Address - Street 1:4276 ABRAM DR
Practice Address - Street 2:
Practice Address - City:CONLEY
Practice Address - State:GA
Practice Address - Zip Code:30288-1741
Practice Address - Country:US
Practice Address - Phone:678-754-8000
Practice Address - Fax:404-920-2664
Is Sole Proprietor?:No
Enumeration Date:2015-03-31
Last Update Date:2015-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC008225101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor