Provider Demographics
NPI:1477330587
Name:HILL, LAURA ELIZABETH (MHP)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:ELIZABETH
Last Name:HILL
Suffix:
Gender:F
Credentials:MHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 N PLUM ST
Mailing Address - Street 2:
Mailing Address - City:FLAT ROCK
Mailing Address - State:IL
Mailing Address - Zip Code:62427-1020
Mailing Address - Country:US
Mailing Address - Phone:217-240-8053
Mailing Address - Fax:
Practice Address - Street 1:218 E MAIN ST
Practice Address - Street 2:
Practice Address - City:OLNEY
Practice Address - State:IL
Practice Address - Zip Code:62450-2114
Practice Address - Country:US
Practice Address - Phone:618-395-8656
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-12
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health