Provider Demographics
NPI:1477645513
Name:HILL, ANDREA M (LMHP, LPC, MA)
Entity Type:Individual
Prefix:MRS
First Name:ANDREA
Middle Name:M
Last Name:HILL
Suffix:
Gender:F
Credentials:LMHP, LPC, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:212 REDWOOD RD
Mailing Address - Street 2:
Mailing Address - City:GRAND ISLAND
Mailing Address - State:NE
Mailing Address - Zip Code:68803-3150
Mailing Address - Country:US
Mailing Address - Phone:402-202-0819
Mailing Address - Fax:
Practice Address - Street 1:212 REDWOOD RD
Practice Address - Street 2:
Practice Address - City:GRAND ISLAND
Practice Address - State:NE
Practice Address - Zip Code:68803-3150
Practice Address - Country:US
Practice Address - Phone:402-202-0819
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2011-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1894101YP2500X
NE3540101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health