Provider Demographics
NPI:1356373773
Name:HILL, LORETTA P (MA NCC LCPC)
Entity type:Individual
Prefix:MS
First Name:LORETTA
Middle Name:P
Last Name:HILL
Suffix:
Gender:F
Credentials:MA NCC LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3410 WASHINGTON AVENUE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21244
Mailing Address - Country:US
Mailing Address - Phone:410-922-0248
Mailing Address - Fax:
Practice Address - Street 1:10 WINTER CANE
Practice Address - Street 2:THE RENAISSANCE CENTER
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228
Practice Address - Country:US
Practice Address - Phone:400-747-3360
Practice Address - Fax:410-747-3364
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2007-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC0964101Y00000X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional