MEDICARE: MS. KRISTINE ANNE POURSINE-HILL LMHC, NCC,CAP

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	2041L	FL
2	101YM0800X	Mental Health Counselor	MH4796	FL

General Provider Information

NPI Number	:	1568670438
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KRISTINE ANNE POURSINE-HILL LMHC, NCC,CAP

Provider Business Mailing Address
First Line	:	1115 PIN OAK ST
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33019-4841
Country	:	US
Telephone Number	:	954-920-2554
Fax Number	:

Provider Business Practice Location Address
First Line	:	5701 HOLLYWOOD BLVD
Second Line	:	SUITE A
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021-6326
Country	:	US
Telephone Number	:	954-964-0515
Fax Number	:	954-964-0521

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

Provider Enumeration Date	:	05/21/2007
Last Update Date	:	09/11/2025

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