Provider Demographics
NPI:1861014854
Name:HILL, MINDY ALLYN (LGPC)
Entity Type:Individual
Prefix:MRS
First Name:MINDY
Middle Name:ALLYN
Last Name:HILL
Suffix:
Gender:F
Credentials:LGPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38384 POINT BREEZE RD
Mailing Address - Street 2:
Mailing Address - City:COLTONS POINT
Mailing Address - State:MD
Mailing Address - Zip Code:20626-2011
Mailing Address - Country:US
Mailing Address - Phone:240-925-7864
Mailing Address - Fax:
Practice Address - Street 1:25482 POINT LOOKOUT RD
Practice Address - Street 2:
Practice Address - City:LEONARDTOWN
Practice Address - State:MD
Practice Address - Zip Code:20650-3895
Practice Address - Country:US
Practice Address - Phone:301-690-0779
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-12
Last Update Date:2020-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGP9951101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional