Provider Demographics
NPI:1588724272
Name:HILL, DESIRE PRISCILLA (LMHC)
Entity type:Individual
Prefix:MRS
First Name:DESIRE
Middle Name:PRISCILLA
Last Name:HILL
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1252 SE 1ST WAY
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33441-6608
Mailing Address - Country:US
Mailing Address - Phone:954-913-1397
Mailing Address - Fax:954-481-9682
Practice Address - Street 1:1252 SE 1ST WAY
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33441-6608
Practice Address - Country:US
Practice Address - Phone:954-913-1397
Practice Address - Fax:954-481-9682
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH7701101YA0400X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ054COtherBCBS