Provider Demographics
NPI:1891009734
Name:HILLS, TRENIECE LANDRY
Entity Type:Individual
Prefix:
First Name:TRENIECE
Middle Name:LANDRY
Last Name:HILLS
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 1:6412 PELICAN CROSSING DR
Mailing Address - Street 2:
Mailing Address - City:GONZALES
Mailing Address - State:LA
Mailing Address - Zip Code:70737-8526
Mailing Address - Country:US
Mailing Address - Phone:985-513-8533
Mailing Address - Fax:
Practice Address - Street 1:6412 PELICAN CROSSING DR
Practice Address - Street 2:
Practice Address - City:GONZALES
Practice Address - State:LA
Practice Address - Zip Code:70737-8526
Practice Address - Country:US
Practice Address - Phone:985-513-8533
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-03
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1431171M00000X
LA2793101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No171M00000XOther Service ProvidersCase Manager/Care Coordinator