Provider Demographics
NPI:1750573325
Name:HILL, RONALD (LCSW)
Entity type:Individual
Prefix:MR
First Name:RONALD
Middle Name:
Last Name:HILL
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7210 N VILLA LAKE DR
Mailing Address - Street 2:STE D BEHAVIORAL HEALTH ADVANTAGES INC
Mailing Address - City:PEORIA
Mailing Address - State:IL
Mailing Address - Zip Code:61614
Mailing Address - Country:US
Mailing Address - Phone:309-589-1011
Mailing Address - Fax:309-589-1019
Practice Address - Street 1:7210 N VILLA LAKE DR
Practice Address - Street 2:STE D BEHAVIORAL HEALTH ADVANTAGES INC
Practice Address - City:PEORIA
Practice Address - State:IL
Practice Address - Zip Code:61614
Practice Address - Country:US
Practice Address - Phone:309-589-1011
Practice Address - Fax:309-589-1019
Is Sole Proprietor?:No
Enumeration Date:2007-08-16
Last Update Date:2007-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor