Provider Demographics
NPI:1487855722
Name:HILLS, BEVERLY (MS, LPC)
Entity Type:Individual
Prefix:
First Name:BEVERLY
Middle Name:
Last Name:HILLS
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 JOHN NOLEN DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53713-1465
Mailing Address - Country:US
Mailing Address - Phone:608-256-5030
Mailing Address - Fax:608-256-5038
Practice Address - Street 1:900 JOHN NOLEN DR
Practice Address - Street 2:SUITE 100
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53713-1465
Practice Address - Country:US
Practice Address - Phone:608-256-5030
Practice Address - Fax:608-256-5038
Is Sole Proprietor?:No
Enumeration Date:2007-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3166-125101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI39755400Medicaid