Provider Demographics
NPI:1194068874
Name:HILL, DAWN M (LCPC, LCADC)
Entity type:Individual
Prefix:
First Name:DAWN
Middle Name:M
Last Name:HILL
Suffix:
Gender:F
Credentials:LCPC, LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9509 WALKING SPIRIT CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89129-7899
Mailing Address - Country:US
Mailing Address - Phone:702-741-7183
Mailing Address - Fax:
Practice Address - Street 1:9509 WALKING SPIRIT CT
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89129-7899
Practice Address - Country:US
Practice Address - Phone:702-741-7183
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-01
Last Update Date:2020-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVCP1230-R101Y00000X, 101YP2500X
NV00607-P101Y00000X
NV01702-L101YA0400X
NV443-LC101YA0400X
CT46-003748101YP2500X
171M00000X, 172V00000X, 174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No172V00000XOther Service ProvidersCommunity Health Worker
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV225400000XMedicaid