Provider Demographics
NPI:1023565322
Name:HILL, MAURICE (MS, LPC)
Entity Type:Individual
Prefix:MR
First Name:MAURICE
Middle Name:
Last Name:HILL
Suffix:
Gender:M
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1284A FARM RD 665
Mailing Address - Street 2:
Mailing Address - City:ALICE
Mailing Address - State:TX
Mailing Address - Zip Code:78332-6952
Mailing Address - Country:US
Mailing Address - Phone:361-664-4151
Mailing Address - Fax:361-668-0045
Practice Address - Street 1:1284A FARM RD 665
Practice Address - Street 2:
Practice Address - City:ALICE
Practice Address - State:TX
Practice Address - Zip Code:78332-6952
Practice Address - Country:US
Practice Address - Phone:361-664-4151
Practice Address - Fax:361-668-0045
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-02
Last Update Date:2016-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX71817101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional