Healthcare Provider Details

I. General information

NPI: 1235964263
Provider Name (Legal Business Name): ABIGAIL BORTON LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/09/2024
Last Update Date: 09/04/2025
Certification Date: 09/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 S LINCOLN ST
HILLSBORO KS
67063-1714
US

IV. Provider business mailing address

315 S LINCOLN ST
HILLSBORO KS
67063-1714
US

V. Phone/Fax

Practice location:
  • Phone: 620-869-9986
  • Fax: 620-869-9046
Mailing address:
  • Phone: 620-951-4704
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number04841
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: