Healthcare Provider Details

I. General information

NPI: 1982452058
Provider Name (Legal Business Name): HILLARY STEVENS LCSW
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2024
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

206 N 4TH ST STE 14
WILMINGTON NC
28401-4028
US

IV. Provider business mailing address

5029 CLEAR RUN DR
WILMINGTON NC
28403-1909
US

V. Phone/Fax

Practice location:
  • Phone: 910-623-9110
  • Fax:
Mailing address:
  • Phone: 910-623-9110
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MRS. HILLARY STEVENS
Title or Position: OWNER
Credential: LCSW
Phone: 910-923-9110