Provider Demographics
NPI:1184432783
Name:BLACKWELL-HILL, SYDNEY (LMFT-A)
Entity type:Individual
Prefix:
First Name:SYDNEY
Middle Name:
Last Name:BLACKWELL-HILL
Suffix:
Gender:
Credentials:LMFT-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12811 ILDERTON DR
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77346-4933
Mailing Address - Country:US
Mailing Address - Phone:740-415-7612
Mailing Address - Fax:
Practice Address - Street 1:12811 ILDERTON DR
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77346-4933
Practice Address - Country:US
Practice Address - Phone:740-415-7612
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-28
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist