Basic Information
| Provider Information | |||||||||
| NPI: | 1609223502 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MASSIE | ||||||||
| FirstName: | HILLARY | ||||||||
| MiddleName: | D | ||||||||
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| Credential: | LPCC-S | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4449 STATE ROUTE 159 | ||||||||
| Address2: | |||||||||
| City: | CHILLICOTHE | ||||||||
| State: | OH | ||||||||
| PostalCode: | 456018620 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7407751260 | ||||||||
| FaxNumber: | 7407731264 | ||||||||
| Practice Location | |||||||||
| Address1: | 110 HIGHLAND AVE | ||||||||
| Address2: | |||||||||
| City: | CIRCLEVILLE | ||||||||
| State: | OH | ||||||||
| PostalCode: | 431131208 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7404771745 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/20/2016 | ||||||||
| LastUpdateDate: | 06/06/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | C.1500026 | OH | N | Behavioral Health & Social Service Providers | Counselor | Mental Health | 101YM0800X | E.1800714-SUPV | OH | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.