MEDICARE: MRS. DOMINIQUE DANIELLE HILL M.ED., LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	76746	TX

General Provider Information

NPI Number	:	1477145944
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DOMINIQUE DANIELLE HILL M.ED., LPC

Provider Business Mailing Address
First Line	:	1712 BISCAYNE DR
Second Line	:
City	:	FRANKLIN
State	:	TN
Zip	:	37067-1475
Country	:	US
Telephone Number	:	817-812-2880
Fax Number	:

Provider Business Practice Location Address
First Line	:	1712 BISCAYNE DR
Second Line	:
City	:	FRANKLIN
State	:	TN
Zip	:	37067-1475
Country	:	US
Telephone Number	:	817-812-2880
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/06/2021
Last Update Date	:	02/06/2021

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