Provider Demographics
NPI:1609388412
Name:HILLS, WENDY CAROLINE (MA LPC NCC)
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:CAROLINE
Last Name:HILLS
Suffix:
Gender:F
Credentials:MA LPC NCC
Other - Prefix:
Other - First Name:WENDY
Other - Middle Name:CAROLINE
Other - Last Name:KOWAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:1841 N PERRY ST
Mailing Address - Street 2:
Mailing Address - City:PONTIAC
Mailing Address - State:MI
Mailing Address - Zip Code:48340-2235
Mailing Address - Country:US
Mailing Address - Phone:248-871-1448
Mailing Address - Fax:
Practice Address - Street 1:1841 N PERRY ST
Practice Address - Street 2:
Practice Address - City:PONTIAC
Practice Address - State:MI
Practice Address - Zip Code:48340-2235
Practice Address - Country:US
Practice Address - Phone:248-871-1448
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-02
Last Update Date:2017-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401600901101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty