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General NPI Number Information
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NPI Number | 1205649258
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Entity Type | Organization
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Legal Business Name | REBECCA WADE HILL LPC, LLC
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Dates
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Enumeration Date | 01/31/2025
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 231 S CARROLL RD
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City | VILLA RICA
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State | GA
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Zip | 30180-2607
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Country | US
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Telephone | 770-241-1065
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Fax |
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Provider Business Mailing Address
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Address Line | 231 S CARROLL RD
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City | VILLA RICA
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State | GA
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Zip | 30180-2607
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Country | US
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Telephone | 770-241-1065
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Fax |
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Authorized Official
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Title or Position | PROFESSIONAL COUNSELOR
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Name | REBECCA WADE HILL
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Credential | LPC
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Telephone | 770-241-1065
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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