Healthcare Provider Details

I. General information

NPI: 1649106717
Provider Name (Legal Business Name): AMBER DANIELLE HILL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1629 K ST NW STE 300
WASHINGTON DC
20006-1631
US

IV. Provider business mailing address

5810 KINGSTOWNE CTR STE 120
ALEXANDRIA VA
22315-5711
US

V. Phone/Fax

Practice location:
  • Phone: 202-746-5838
  • Fax:
Mailing address:
  • Phone: 571-295-7151
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0704019138
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: