Healthcare Provider Details

I. General information

NPI: 1912076084
Provider Name (Legal Business Name): DIANE ROBERSON-HILL LMFT, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/06/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 BEL AIR BLVD SUITE 404
MOBILE AL
36606-3513
US

IV. Provider business mailing address

601 BEL AIR BLVD SUITE 404
MOBILE AL
36606-3513
US

V. Phone/Fax

Practice location:
  • Phone: 251-478-5050
  • Fax: 251-478-5015
Mailing address:
  • Phone: 251-478-5050
  • Fax: 251-478-5015

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC427 AND LMFT163
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: