Provider Demographics
NPI:1679814594
Name:HILL, NICOLE ASHLEY-CHRISTINE (LPC, AADC)
Entity Type:Individual
Prefix:MS
First Name:NICOLE
Middle Name:ASHLEY-CHRISTINE
Last Name:HILL
Suffix:
Gender:F
Credentials:LPC, AADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5434 W WALSH LN STE 100
Mailing Address - Street 2:
Mailing Address - City:ROGERS
Mailing Address - State:AR
Mailing Address - Zip Code:72758-8946
Mailing Address - Country:US
Mailing Address - Phone:479-442-2311
Mailing Address - Fax:
Practice Address - Street 1:5434 W WALSH LN STE 100
Practice Address - Street 2:
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72758-8946
Practice Address - Country:US
Practice Address - Phone:479-442-2311
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-04
Last Update Date:2022-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP1808110101YM0800X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health