Provider Demographics
NPI:1538509732
Name:HILL, SHENNA (MHPP)
Entity Type:Individual
Prefix:
First Name:SHENNA
Middle Name:
Last Name:HILL
Suffix:
Gender:F
Credentials:MHPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:252 MANOR ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:MARION
Mailing Address - State:AR
Mailing Address - Zip Code:72364-1936
Mailing Address - Country:US
Mailing Address - Phone:870-739-6818
Mailing Address - Fax:870-739-6821
Practice Address - Street 1:252 MANOR ST
Practice Address - Street 2:SUITE 2
Practice Address - City:MARION
Practice Address - State:AR
Practice Address - Zip Code:72364-1936
Practice Address - Country:US
Practice Address - Phone:870-739-6818
Practice Address - Fax:870-739-6821
Is Sole Proprietor?:No
Enumeration Date:2013-07-02
Last Update Date:2013-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator