Organization
HILLTOP COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENARD FENAUD LMSW, MDIV (CEO)
(772) 408-3907
Entity
Organization
Contact information
Practice address
101 GREATWOOD LN, VILLA RICA, GA 30180-5565
(269) 421-1788
(678) 855-6715
Mailing address
101 GREATWOOD LN, VILLA RICA, GA 30180-5565
(269) 421-1788
(678) 855-6715
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
06/10/2022
Last updated
05/30/2024
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