Provider Demographics
NPI:1821796111
Name:HILL, JOANNA PAULINE
Entity Type:Individual
Prefix:MS
First Name:JOANNA
Middle Name:PAULINE
Last Name:HILL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 E 54TH ST
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74105-6713
Mailing Address - Country:US
Mailing Address - Phone:918-504-5574
Mailing Address - Fax:
Practice Address - Street 1:5840 S MEMORIAL DR STE 111
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74145-9006
Practice Address - Country:US
Practice Address - Phone:918-488-8002
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-16
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor