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NPI Code Detail

MEDICARE: MS. AUTUMN LYNETTE HILL LCSW

MEDICARE: MS. AUTUMN LYNETTE HILL LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor
21041C0700XClinical Social WorkerC007834NC

General Provider Information

NPI Number : 1457515843
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. AUTUMN LYNETTE HILL LCSW
Provider Business Mailing Address
First Line : PO BOX 60447
Second Line :
City : CHARLOTTE
State : NC
Zip : 28260-0447
Country : US
Telephone Number : 704-384-1246
Fax Number : 704-384-6072
Provider Business Practice Location Address
First Line : 3545 WHITEHALL PARK DR STE 300
Second Line :
City : CHARLOTTE
State : NC
Zip : 28273-4179
Country : US
Telephone Number : 980-302-8850
Fax Number : 704-316-8118
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2008
Last Update Date : 11/09/2022

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