Provider Demographics
NPI:1124880497
Name:SIGNAL HILL COUNSELING LLC
Entity type:Organization
Organization Name:SIGNAL HILL COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / COUNSELOR
Authorized Official - Prefix:MR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:HUGHES
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:208-497-2783
Mailing Address - Street 1:263 S HEATH LN
Mailing Address - Street 2:
Mailing Address - City:IDAHO FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83401-4601
Mailing Address - Country:US
Mailing Address - Phone:208-497-2783
Mailing Address - Fax:208-561-7404
Practice Address - Street 1:263 S HEATH LN
Practice Address - Street 2:
Practice Address - City:IDAHO FALLS
Practice Address - State:ID
Practice Address - Zip Code:83401-4601
Practice Address - Country:US
Practice Address - Phone:208-497-2783
Practice Address - Fax:208-561-7404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-23
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty