Basic Information
| Provider Information | |||||||||
| NPI: | 1730485012 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HUGER-HILL | ||||||||
| FirstName: | LETITIA | ||||||||
| MiddleName: | |||||||||
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| Credential: | LPC | ||||||||
| OtherOrganizationName: | |||||||||
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| OtherLastName: | HUGER | ||||||||
| OtherFirstName: | LETITIA | ||||||||
| OtherMiddleName: | |||||||||
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| OtherCredential: | LPC | ||||||||
| OtherLastNameType: | 5 | ||||||||
| Mailing Information | |||||||||
| Address1: | 100 STRATFORD LAKES DR UNIT 337 | ||||||||
| Address2: | |||||||||
| City: | DURHAM | ||||||||
| State: | NC | ||||||||
| PostalCode: | 277133494 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9198245165 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 2515 E NC HIGHWAY 54 | ||||||||
| Address2: | BUILDING 2200 | ||||||||
| City: | DURHAM | ||||||||
| State: | NC | ||||||||
| PostalCode: | 277135263 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9194930959 | ||||||||
| FaxNumber: | 9194930970 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/02/2011 | ||||||||
| LastUpdateDate: | 09/24/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | 8437 | NC | N | Behavioral Health & Social Service Providers | Counselor | Mental Health | 101YP2500X | 8437 | NC | Y | Behavioral Health & Social Service Providers | Counselor | Professional |
No ID Information.