Provider Demographics
NPI:1487343976
Name:HILL, VICTORIA (MED, PLPC, LPC)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:
Last Name:HILL
Suffix:
Gender:F
Credentials:MED, PLPC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1008 3RD ST
Mailing Address - Street 2:
Mailing Address - City:CAMDEN POINT
Mailing Address - State:MO
Mailing Address - Zip Code:64018-9140
Mailing Address - Country:US
Mailing Address - Phone:816-853-4906
Mailing Address - Fax:
Practice Address - Street 1:6405 METCALF AVE STE 510
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:KS
Practice Address - Zip Code:66202-3973
Practice Address - Country:US
Practice Address - Phone:816-455-9433
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-02
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2023015722101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional