Healthcare Provider Details

I. General information

NPI: 1598689150
Provider Name (Legal Business Name): MAE HILL PSYCHIATRY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11743 COUNTY LINE RD STE C
MADISON AL
35758-3301
US

IV. Provider business mailing address

11743 COUNTY LINE RD STE C
MADISON AL
35758-3301
US

V. Phone/Fax

Practice location:
  • Phone: 256-880-3500
  • Fax:
Mailing address:
  • Phone: 256-880-3500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MAE HILL
Title or Position: NURSE PRACTITIONER
Credential: CRNP
Phone: 256-541-2716