Provider Demographics
NPI:1881947851
Name:HILL, WENDY D (LPC)
Entity type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:D
Last Name:HILL
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 1:2815 S CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27215-5105
Mailing Address - Country:US
Mailing Address - Phone:336-586-0647
Mailing Address - Fax:336-586-0729
Practice Address - Street 1:2815 S CHURCH ST
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-5105
Practice Address - Country:US
Practice Address - Phone:336-586-0647
Practice Address - Fax:336-586-0729
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-16
Last Update Date:2012-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8175101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health