Basic Information
Provider Information
NPI: 1215590245
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HILTON
FirstName: MARGARET
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: LPCA
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 57 DALE ST
Address2:  
City: ASHEVILLE
State: NC
PostalCode: 288063262
CountryCode: US
TelephoneNumber: 8039839611
FaxNumber:  
Practice Location
Address1: 390 MERRIMON AVE
Address2:  
City: ASHEVILLE
State: NC
PostalCode: 288011222
CountryCode: US
TelephoneNumber: 8282001857
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/16/2019
LastUpdateDate: 12/03/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YP2500XA14561NCY193400000X SINGLE SPECIALTY GROUPBehavioral Health & Social Service ProvidersCounselorProfessional

No ID Information.


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