Provider Demographics
NPI:1376056887
Name:HOY-NIELSEN, LILLIANA MAGALI
Entity Type:Individual
Prefix:
First Name:LILLIANA
Middle Name:MAGALI
Last Name:HOY-NIELSEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2451 E SKIPPING ROCK WAY
Mailing Address - Street 2:
Mailing Address - City:ORO VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85737-4604
Mailing Address - Country:US
Mailing Address - Phone:520-909-8829
Mailing Address - Fax:520-900-7246
Practice Address - Street 1:3295 W INA RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85741-2191
Practice Address - Country:US
Practice Address - Phone:520-744-4376
Practice Address - Fax:520-579-1138
Is Sole Proprietor?:No
Enumeration Date:2017-11-07
Last Update Date:2021-08-03
Deactivation Date:2021-05-20
Deactivation Code:
Reactivation Date:2021-08-03
Provider Licenses
StateLicense IDTaxonomies
AZLCSW-165821041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical