Provider Demographics
NPI:1891338190
Name:R HILL BEHAVIORAL HEALTH PLLC
Entity Type:Organization
Organization Name:R HILL BEHAVIORAL HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:STELLA
Authorized Official - Middle Name:M
Authorized Official - Last Name:DOUD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-310-0169
Mailing Address - Street 1:652 E CLOVERLAND DR STE 2
Mailing Address - Street 2:
Mailing Address - City:IRONWOOD
Mailing Address - State:MI
Mailing Address - Zip Code:49938-1422
Mailing Address - Country:US
Mailing Address - Phone:906-281-6476
Mailing Address - Fax:906-884-4794
Practice Address - Street 1:652 E CLOVERLAND DR STE 2
Practice Address - Street 2:
Practice Address - City:IRONWOOD
Practice Address - State:MI
Practice Address - Zip Code:49938-1422
Practice Address - Country:US
Practice Address - Phone:906-281-6476
Practice Address - Fax:906-884-4794
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-20
Last Update Date:2020-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty