Provider Demographics
NPI:1891450417
Name:HICKS, AIMEE (PHD, LPC, LCDC)
Entity type:Individual
Prefix:
First Name:AIMEE
Middle Name:
Last Name:HICKS
Suffix:
Gender:F
Credentials:PHD, LPC, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 9TH ST STE 102
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31901-2760
Mailing Address - Country:US
Mailing Address - Phone:470-553-9423
Mailing Address - Fax:
Practice Address - Street 1:18 9TH ST STE 102
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31901-2760
Practice Address - Country:US
Practice Address - Phone:470-553-9423
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-08
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15994101YA0400X
GA014670101YM0800X
TX86628101YP2500X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty