Provider Demographics
NPI:1720263049
Name:HILL, AMY (MA, LPC)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:HILL
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1814 ROYAL CREST DR
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75043-1014
Mailing Address - Country:US
Mailing Address - Phone:972-278-9745
Mailing Address - Fax:
Practice Address - Street 1:1401 N CENTRAL EXPY STE 375
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-4657
Practice Address - Country:US
Practice Address - Phone:469-432-8376
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-05
Last Update Date:2008-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX61060101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health