Provider Demographics
NPI:1720541444
Name:HILL, HAZEL CAMILLA (MA LPC)
Entity Type:Individual
Prefix:
First Name:HAZEL
Middle Name:CAMILLA
Last Name:HILL
Suffix:
Gender:F
Credentials:MA LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2820 S BARTELL DR APT I211
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-1463
Mailing Address - Country:US
Mailing Address - Phone:713-665-5572
Mailing Address - Fax:
Practice Address - Street 1:2800 POST OAK BLOUVARD
Practice Address - Street 2:SUITE 4100
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056
Practice Address - Country:US
Practice Address - Phone:832-861-4221
Practice Address - Fax:832-390-2350
Is Sole Proprietor?:No
Enumeration Date:2019-04-09
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX77782101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional