Provider Demographics
NPI:1881275014
Name:SULLIVAN-HILL, VONECIA (LPC)
Entity type:Individual
Prefix:
First Name:VONECIA
Middle Name:
Last Name:SULLIVAN-HILL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19636 N 27TH AVE STE 106
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85027-4014
Mailing Address - Country:US
Mailing Address - Phone:480-416-7200
Mailing Address - Fax:
Practice Address - Street 1:19636 N 27TH AVE STE 106
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85027-4014
Practice Address - Country:US
Practice Address - Phone:480-416-7200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-19
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-19801101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional