Provider Demographics
NPI:1699153320
Name:HILL, MONICA
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:HILL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 PINE ST
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:OH
Mailing Address - Zip Code:45148-1101
Mailing Address - Country:US
Mailing Address - Phone:937-939-2399
Mailing Address - Fax:
Practice Address - Street 1:30 PINE ST
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:OH
Practice Address - Zip Code:45148-1101
Practice Address - Country:US
Practice Address - Phone:937-939-2399
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-14
Last Update Date:2024-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.2102108-SUPV101YM0800X
OHCDCA.130598101YA0400X
OHC.1300671101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)