MEDICARE: VIRGINIA D HILL LPC, CRC, R-DMT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	CRC-00115800	NC
2	101Y00000X	Counselor	R-DMT-1732	NC
3	101YP2500X	Professional Counselor	A9853	NC
4	101YM0800X	Mental Health Counselor	9853	NC

General Provider Information

NPI Number	:	1740613884
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VIRGINIA D HILL LPC, CRC, R-DMT

Provider Business Mailing Address
First Line	:	101 BURKWOOD LN
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27609-8202
Country	:	US
Telephone Number	:	919-616-7096
Fax Number	:

Provider Business Practice Location Address
First Line	:	4000 WAKE FOREST RD
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27609-6879
Country	:	US
Telephone Number	:	919-348-9775
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/13/2013
Last Update Date	:	07/21/2022

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