Provider Demographics
NPI:1659033868
Name:HILL, HEIDI THERESA (MSC, LPC)
Entity Type:Individual
Prefix:MRS
First Name:HEIDI
Middle Name:THERESA
Last Name:HILL
Suffix:
Gender:F
Credentials:MSC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 N FEDERAL ST APT 1058
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85226-6320
Mailing Address - Country:US
Mailing Address - Phone:480-528-6929
Mailing Address - Fax:
Practice Address - Street 1:3337 E VIA DE VENTURA RD STE 335
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-8524
Practice Address - Country:US
Practice Address - Phone:480-925-9743
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-06
Last Update Date:2021-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-20007101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty