Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 2-01625 | MI |
Y | 101YM0800X | Mental Health Counselor | 6401019009 | MI |
N | 103K00000X | Behavior Analyst | ||
N | 104100000X | Social Worker | 6803086372 | MI |
NPI | 1003203308 |
---|---|
Provider Name | Felicia Hill |
First Address | Detroit, MI 48238-3210 |
Second Address | Detroit, MI 48238-3210 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2015 |
Last Update Date | 29/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
247200000X | (05) | MI |