Basic Information
Provider Information | |||||||||
NPI: | 1477974889 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | HILL | ||||||||
FirstName: | LINDSEY | ||||||||
MiddleName: | RANKIN | ||||||||
NamePrefix: | MRS. | ||||||||
NameSuffix: |   | ||||||||
Credential: | LPC | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: |   | ||||||||
OtherFirstName: |   | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: |   | ||||||||
Mailing Information | |||||||||
Address1: | 9238 MADISON BLVD, BLDG 1 | ||||||||
Address2: | SUITE 800 | ||||||||
City: | MADISON | ||||||||
State: | AL | ||||||||
PostalCode: | 35758 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 2563556105 | ||||||||
FaxNumber: | 2563410747 | ||||||||
Practice Location | |||||||||
Address1: | 9238 MADISON BLVD, BLDG 1 | ||||||||
Address2: | SUITE 800 | ||||||||
City: | MADISON | ||||||||
State: | AL | ||||||||
PostalCode: | 35758 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 2562587777 | ||||||||
FaxNumber: | 2563410747 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 01/02/2014 | ||||||||
LastUpdateDate: | 09/08/2015 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | F | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | Y | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: |   |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | C2015A | AL | N |   | Behavioral Health & Social Service Providers | Counselor | Mental Health | 101YP2500X | 3298 | AL | Y |   | Behavioral Health & Social Service Providers | Counselor | Professional |
No ID Information.