Provider Demographics
NPI:1255525069
Name:HILL, AMANDA SUZANNE (LMHC)
Entity type:Individual
Prefix:MISS
First Name:AMANDA
Middle Name:SUZANNE
Last Name:HILL
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:MRS
Other - First Name:AMANDA
Other - Middle Name:SUZANNE
Other - Last Name:BICKETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:16095 PROSPERITY DRIVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:NOBLESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46060-4319
Mailing Address - Country:US
Mailing Address - Phone:317-214-7053
Mailing Address - Fax:937-734-4343
Practice Address - Street 1:16095 PROSPERITY DRIVE
Practice Address - Street 2:SUITE 102
Practice Address - City:NOBLESVILLE
Practice Address - State:IN
Practice Address - Zip Code:46060-4319
Practice Address - Country:US
Practice Address - Phone:317-214-7053
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-05
Last Update Date:2021-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP2500X
IN39003691A101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional