Provider Demographics
NPI:1124239975
Name:HILL, DIANE FRANCES (LMSW,LPC,CAC-R)
Entity type:Individual
Prefix:MRS
First Name:DIANE
Middle Name:FRANCES
Last Name:HILL
Suffix:
Gender:F
Credentials:LMSW,LPC,CAC-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7568N LITTLE PINE ROAD
Mailing Address - Street 2:
Mailing Address - City:HURLEY
Mailing Address - State:WI
Mailing Address - Zip Code:54534
Mailing Address - Country:US
Mailing Address - Phone:715-476-2536
Mailing Address - Fax:
Practice Address - Street 1:103 WEST U.S. 2
Practice Address - Street 2:
Practice Address - City:WAKEFIELD
Practice Address - State:MI
Practice Address - Zip Code:49968
Practice Address - Country:US
Practice Address - Phone:906-229-6120
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401000948101YP2500X
MI68010332391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI6801033239OtherLMSW
MI6401000948OtherLPC