Provider Demographics
NPI:1649489634
Name:HILL, MARKEVA GWENDOLYN (THD)
Entity type:Individual
Prefix:DR
First Name:MARKEVA
Middle Name:GWENDOLYN
Last Name:HILL
Suffix:
Gender:F
Credentials:THD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3821 S PERTH ST
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80013-7489
Mailing Address - Country:US
Mailing Address - Phone:720-870-1216
Mailing Address - Fax:
Practice Address - Street 1:1250 S PARKER RD
Practice Address - Street 2:SUITE 201B
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80231-7559
Practice Address - Country:US
Practice Address - Phone:303-337-4921
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4605101YP2500X
GA004453101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional