Healthcare Provider Details

I. General information

NPI: 1285926998
Provider Name (Legal Business Name): MONICA TURNER HILL LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/12/2011
Last Update Date: 12/21/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 DEVANT ST SUITE 104
FAYETTEVILLE GA
30214-2710
US

IV. Provider business mailing address

101 DEVANT ST SUITE 104
FAYETTEVILLE GA
30214-2710
US

V. Phone/Fax

Practice location:
  • Phone: 770-716-1905
  • Fax:
Mailing address:
  • Phone: 770-716-1905
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number005637
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number005637
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number005637
License Number StateGA
# 4
Primary TaxonomyN
Taxonomy Code103TF0000X
TaxonomyFamily Psychologist
License Number005637
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: