Provider Demographics
NPI:1063178721
Name:HILL, ATASHIA SHANTRELL
Entity type:Individual
Prefix:
First Name:ATASHIA
Middle Name:SHANTRELL
Last Name:HILL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 ROBLEY DR APT 2101
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70503-5503
Mailing Address - Country:US
Mailing Address - Phone:225-454-4391
Mailing Address - Fax:
Practice Address - Street 1:1200 ROBLEY DR APT 2101
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70503-5503
Practice Address - Country:US
Practice Address - Phone:225-454-4391
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-16
Last Update Date:2021-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator