Provider Demographics
NPI:1811420417
Name:HILLS, ALISA (LSW)
Entity Type:Individual
Prefix:
First Name:ALISA
Middle Name:
Last Name:HILLS
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 N GRANT ST
Mailing Address - Street 2:#204
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80203-4833
Mailing Address - Country:US
Mailing Address - Phone:860-841-4603
Mailing Address - Fax:
Practice Address - Street 1:25 N GRANT ST
Practice Address - Street 2:#204
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80203-4833
Practice Address - Country:US
Practice Address - Phone:860-841-4603
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-10
Last Update Date:2017-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLSW.0009921134104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker