Provider Demographics
NPI:1104202316
Name:HILL, YOVONDA (MA, LPC)
Entity type:Individual
Prefix:
First Name:YOVONDA
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 1:3560 DELAWARE ST
Mailing Address - Street 2:STE 207
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77706-3059
Mailing Address - Country:US
Mailing Address - Phone:409-291-7622
Mailing Address - Fax:409-292-2100
Practice Address - Street 1:3560 DELAWARE ST
Practice Address - Street 2:STE 207
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77706-3059
Practice Address - Country:US
Practice Address - Phone:409-291-7622
Practice Address - Fax:409-292-2100
Is Sole Proprietor?:No
Enumeration Date:2015-08-11
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA5252101YP2500X
TX73211101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional