Provider Demographics
NPI:1972672129
Name:HILL, BONNIE P (DMIN,LPC)
Entity Type:Individual
Prefix:DR
First Name:BONNIE
Middle Name:P
Last Name:HILL
Suffix:
Gender:F
Credentials:DMIN,LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1604 REGENCY DR
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36693-4964
Mailing Address - Country:US
Mailing Address - Phone:251-666-7505
Mailing Address - Fax:251-633-3412
Practice Address - Street 1:2200 CODY RD S
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36695-3071
Practice Address - Country:US
Practice Address - Phone:251-633-2122
Practice Address - Fax:251-633-3412
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1878101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL510-99-609HILOtherBCBS