Provider Demographics
NPI:1093134926
Name:J HILL PSYCHOLOGICAL SERVICES L.L.C
Entity Type:Organization
Organization Name:J HILL PSYCHOLOGICAL SERVICES L.L.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MARRIAGE & FAMILY THERAPIS
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANINE
Authorized Official - Middle Name:A
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LMFT
Authorized Official - Phone:218-999-7552
Mailing Address - Street 1:201 NW 4TH ST STE 7
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MN
Mailing Address - Zip Code:55744-2753
Mailing Address - Country:US
Mailing Address - Phone:218-999-7552
Mailing Address - Fax:
Practice Address - Street 1:201 NW 4TH ST STE 7
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MN
Practice Address - Zip Code:55744-2753
Practice Address - Country:US
Practice Address - Phone:218-999-7552
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-08
Last Update Date:2014-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2793251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health