Provider Demographics
NPI:1457934325
Name:HILLSMAN, SIERRA (LPC)
Entity Type:Individual
Prefix:MS
First Name:SIERRA
Middle Name:
Last Name:HILLSMAN
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 1:3176 WARRENTON CT
Mailing Address - Street 2:
Mailing Address - City:DOUGLASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30135-1395
Mailing Address - Country:US
Mailing Address - Phone:954-822-9869
Mailing Address - Fax:
Practice Address - Street 1:3247 ROCKVIEW DR STE A
Practice Address - Street 2:
Practice Address - City:STONECREST
Practice Address - State:GA
Practice Address - Zip Code:30038-3032
Practice Address - Country:US
Practice Address - Phone:404-808-0870
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-29
Last Update Date:2021-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC012052101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional