Provider Demographics
NPI:1174799811
Name:HADGKISS, ANNIE DAWN (LPC)
Entity type:Individual
Prefix:
First Name:ANNIE
Middle Name:DAWN
Last Name:HADGKISS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:DAWN
Other - Middle Name:ANN
Other - Last Name:HADGKISS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:3518 DRAWBRIDGE PKWY
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410-8432
Mailing Address - Country:US
Mailing Address - Phone:336-337-5050
Mailing Address - Fax:336-282-3079
Practice Address - Street 1:3518 DRAWBRIDGE PKWY
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27410-8432
Practice Address - Country:US
Practice Address - Phone:336-337-5050
Practice Address - Fax:336-282-3079
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-02
Last Update Date:2011-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4185101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health