Provider Demographics
NPI:1508038670
Name:HILL, MARY ELIZABETH (MS, PLMHP)
Entity Type:Individual
Prefix:MISS
First Name:MARY
Middle Name:ELIZABETH
Last Name:HILL
Suffix:
Gender:F
Credentials:MS, PLMHP
Other - Prefix:MRS
Other - First Name:MARY
Other - Middle Name:ELIZABETH
Other - Last Name:ACHELPOHL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS, PLMHP
Mailing Address - Street 1:12822 AUGUSTA AVE
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68144-3733
Mailing Address - Country:US
Mailing Address - Phone:402-403-0190
Mailing Address - Fax:866-733-2530
Practice Address - Street 1:12822 AUGUSTA AVE
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68144-3733
Practice Address - Country:US
Practice Address - Phone:402-403-0190
Practice Address - Fax:866-733-2530
Is Sole Proprietor?:No
Enumeration Date:2008-03-29
Last Update Date:2008-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE8280101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health