Provider Demographics
NPI:1114134236
Name:HILL, GLORIA V (CACD)
Entity Type:Individual
Prefix:MRS
First Name:GLORIA
Middle Name:V
Last Name:HILL
Suffix:
Gender:F
Credentials:CACD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28390 GROVELAND ST
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48066-2417
Mailing Address - Country:US
Mailing Address - Phone:313-867-1090
Mailing Address - Fax:313-867-0706
Practice Address - Street 1:28910 GROVELAND ST
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:MI
Practice Address - Zip Code:48066-2531
Practice Address - Country:US
Practice Address - Phone:313-867-1090
Practice Address - Fax:313-867-0706
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2014-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)