Provider Demographics
NPI:1720215619
Name:STEIN, MICHELLE HILBURN (MA, LPA, HSP-PA)
Entity type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:HILBURN
Last Name:STEIN
Suffix:
Gender:F
Credentials:MA, LPA, HSP-PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 BLOOMING MEADOWS RD
Mailing Address - Street 2:
Mailing Address - City:HOLLY SPRINGS
Mailing Address - State:NC
Mailing Address - Zip Code:27540-8556
Mailing Address - Country:US
Mailing Address - Phone:919-557-9332
Mailing Address - Fax:
Practice Address - Street 1:333 JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:WHITEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28472-3601
Practice Address - Country:US
Practice Address - Phone:910-642-6915
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-17
Last Update Date:2009-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3762103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling