Provider Demographics
NPI:1962514307
Name:HILL, BENJAMIN LEE (LCMHC)
Entity type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:LEE
Last Name:HILL
Suffix:
Gender:M
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 CLAYTON LAKE RD
Mailing Address - Street 2:
Mailing Address - City:WAYNESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28785-6999
Mailing Address - Country:US
Mailing Address - Phone:828-476-8861
Mailing Address - Fax:
Practice Address - Street 1:721 N MAIN ST
Practice Address - Street 2:
Practice Address - City:WAYNESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28786-3821
Practice Address - Country:US
Practice Address - Phone:828-476-8861
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4770101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC139KYOtherBCBS OF NORTH CAROLINA
NC6102652Medicaid