Provider Demographics
NPI:1942735436
Name:HILL, JACQUELINE ARPHENIA (MA)
Entity Type:Individual
Prefix:
First Name:JACQUELINE
Middle Name:ARPHENIA
Last Name:HILL
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:JACQUELINE
Other - Middle Name:ARPHENIA
Other - Last Name:HILL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA
Mailing Address - Street 1:11 PERIWINKLE CT
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27407-4263
Mailing Address - Country:US
Mailing Address - Phone:336-451-7775
Mailing Address - Fax:
Practice Address - Street 1:11 PERIWINKLE CT
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27407-4263
Practice Address - Country:US
Practice Address - Phone:336-451-7775
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-22
Last Update Date:2017-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No251B00000XAgenciesCase Management