Provider Demographics
NPI:1437657954
Name:HILL, NYKALA (MA, LMHC, CDP, NCC)
Entity Type:Individual
Prefix:
First Name:NYKALA
Middle Name:
Last Name:HILL
Suffix:
Gender:F
Credentials:MA, LMHC, CDP, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 N MULLAN RD STE 219
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99206-3793
Mailing Address - Country:US
Mailing Address - Phone:509-474-0229
Mailing Address - Fax:
Practice Address - Street 1:200 N MULLAN RD STE 219
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99206-3793
Practice Address - Country:US
Practice Address - Phone:509-474-0229
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-30
Last Update Date:2019-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACO60262858101YA0400X
WALH60918321101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)