Provider Demographics
NPI:1588451694
Name:ST HILL, DANIELLE NICOLE (LCPC)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:NICOLE
Last Name:ST HILL
Suffix:
Gender:
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6228 HIGHWAY 96 S
Mailing Address - Street 2:
Mailing Address - City:PAYSON
Mailing Address - State:IL
Mailing Address - Zip Code:62360-2056
Mailing Address - Country:US
Mailing Address - Phone:217-440-2760
Mailing Address - Fax:
Practice Address - Street 1:6228 HIGHWAY 96 S
Practice Address - Street 2:
Practice Address - City:PAYSON
Practice Address - State:IL
Practice Address - Zip Code:62360-2056
Practice Address - Country:US
Practice Address - Phone:217-440-2760
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-22
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.017022101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional