Provider Demographics
NPI:1316573710
Name:HILL, CURTIS O (LPC)
Entity Type:Individual
Prefix:DR
First Name:CURTIS
Middle Name:O
Last Name:HILL
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:DR
Other - First Name:CURTIS
Other - Middle Name:O
Other - Last Name:HILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:10515 SHAYNA CT
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75217-3244
Mailing Address - Country:US
Mailing Address - Phone:972-896-3991
Mailing Address - Fax:
Practice Address - Street 1:3400 N CENTRAL EXPY
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-0039
Practice Address - Country:US
Practice Address - Phone:972-896-3991
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-17
Last Update Date:2020-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX82347101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX799566OtherMENTAL HEALTH