Provider Demographics
NPI:1689971236
Name:HILL, ANDREW (MS, NCC, LMHC, CMHS)
Entity Type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:
Last Name:HILL
Suffix:
Gender:M
Credentials:MS, NCC, LMHC, CMHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3754 W INDIAN TRAIL RD
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99208-4736
Mailing Address - Country:US
Mailing Address - Phone:509-559-3100
Mailing Address - Fax:509-328-7582
Practice Address - Street 1:140 S ARTHUR ST
Practice Address - Street 2:STE 510
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99202-2204
Practice Address - Country:US
Practice Address - Phone:509-979-0062
Practice Address - Fax:509-328-9919
Is Sole Proprietor?:No
Enumeration Date:2011-02-17
Last Update Date:2020-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60116271101YM0800X, 101YP2500X
WARE60048743225800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No225800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRecreation Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAG8916162Medicare PIN