Provider Demographics
NPI:1013739465
Name:HILL, LYNSIE PAIGE
Entity type:Individual
Prefix:
First Name:LYNSIE
Middle Name:PAIGE
Last Name:HILL
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 1:6924 E MOUNT VERNON ST STE 107
Mailing Address - Street 2:
Mailing Address - City:GLEN SAINT MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32040-5073
Mailing Address - Country:US
Mailing Address - Phone:904-698-5060
Mailing Address - Fax:
Practice Address - Street 1:6924 E MOUNT VERNON ST STE 107
Practice Address - Street 2:
Practice Address - City:GLEN SAINT MARY
Practice Address - State:FL
Practice Address - Zip Code:32040-5073
Practice Address - Country:US
Practice Address - Phone:904-698-5060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-28
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health