Healthcare Provider Details

I. General information

NPI: 1730093261
Provider Name (Legal Business Name): LAURA HILSEN MA, APC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 SUN VALLEY DR STE M2
ROSWELL GA
30076-5631
US

IV. Provider business mailing address

3156 DENTON PL NE
ROSWELL GA
30075-6123
US

V. Phone/Fax

Practice location:
  • Phone: 678-381-1687
  • Fax:
Mailing address:
  • Phone: 404-441-5776
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberAPC010071
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: