Provider Demographics
NPI:1265057954
Name:HILL-SMITH, JAMI MICHELLE (MS, NCC)
Entity type:Individual
Prefix:
First Name:JAMI
Middle Name:MICHELLE
Last Name:HILL-SMITH
Suffix:
Gender:F
Credentials:MS, NCC
Other - Prefix:
Other - First Name:JAMI
Other - Middle Name:MICHELLE
Other - Last Name:HILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4839 9TH ST N
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22203-1504
Mailing Address - Country:US
Mailing Address - Phone:703-839-5242
Mailing Address - Fax:
Practice Address - Street 1:124 E BROAD ST STE D
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22046-4530
Practice Address - Country:US
Practice Address - Phone:703-534-5100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-09
Last Update Date:2020-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK0704013223101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health