Provider Demographics
NPI:1689153264
Name:HILL, NANCY ANN (AMFT)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:ANN
Last Name:HILL
Suffix:
Gender:F
Credentials:AMFT
Other - Prefix:MISS
Other - First Name:NANCY
Other - Middle Name:ANN
Other - Last Name:PAETZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5334 WILLIAMS DR
Mailing Address - Street 2:
Mailing Address - City:ROSCOE
Mailing Address - State:IL
Mailing Address - Zip Code:61073-7320
Mailing Address - Country:US
Mailing Address - Phone:866-813-6462
Mailing Address - Fax:866-831-6462
Practice Address - Street 1:5334 WILLIAMS DR
Practice Address - Street 2:
Practice Address - City:ROSCOE
Practice Address - State:IL
Practice Address - Zip Code:61073-7320
Practice Address - Country:US
Practice Address - Phone:866-813-6462
Practice Address - Fax:866-831-6462
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-14
Last Update Date:2018-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL208.000655101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health