Provider Demographics
NPI:1942845524
Name:HILL, NADINE (NCC, LPC)
Entity type:Individual
Prefix:
First Name:NADINE
Middle Name:
Last Name:HILL
Suffix:
Gender:F
Credentials:NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 ULSH PARK DR
Mailing Address - Street 2:
Mailing Address - City:NEWNAN
Mailing Address - State:GA
Mailing Address - Zip Code:30265-2581
Mailing Address - Country:US
Mailing Address - Phone:404-932-1058
Mailing Address - Fax:
Practice Address - Street 1:1201 W PEACHTREE ST NW STE 2625
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-3499
Practice Address - Country:US
Practice Address - Phone:678-647-6919
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-07
Last Update Date:2024-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC011032101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty