Provider Demographics
NPI:1962138610
Name:HILL, LOLITA R (RSPS, QMHP, PSS)
Entity type:Individual
Prefix:
First Name:LOLITA
Middle Name:R
Last Name:HILL
Suffix:
Gender:F
Credentials:RSPS, QMHP, PSS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11811 EAST FWY STE 661
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77029-2054
Mailing Address - Country:US
Mailing Address - Phone:396-257-3078
Mailing Address - Fax:
Practice Address - Street 1:11811 EAST FWY STE 661
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77029-2054
Practice Address - Country:US
Practice Address - Phone:396-257-3078
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-26
Last Update Date:2025-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX63702101YA0400X
TX50572-1122171000000X, 175T00000X
TX05494-0522171M00000X, 175T00000X
TX101YP1600X, 171W00000X
TX1595-1024405300000X
17586171400000X
TX17586251S00000X, 172V00000X, 261QC1500X
TX1080174H00000X
TX50190-0822171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No171000000XOther Service ProvidersMilitary Health Care Provider
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralGroup - Multi-Specialty
No175T00000XOther Service ProvidersPeer SpecialistGroup - Multi-Specialty
No405300000XOther Service ProvidersPrevention Professional
No171400000XOther Service ProvidersHealth & Wellness CoachGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral Health
No171W00000XOther Service ProvidersContractor
No172V00000XOther Service ProvidersCommunity Health Worker
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1524OtherTCB
TX50494-0522OtherTCB
TX17586OtherDSHS
TX1595-1024OtherTCB
TX50190-0822OtherTCB
TX50572-1122OtherTCB
TX63702OtherDSHS