Healthcare Provider Details

I. General information

NPI: 1528007283
Provider Name (Legal Business Name): BRIEN F HILL LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2006
Last Update Date: 07/22/2020
Certification Date: 07/22/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 LANDMARK DR
BELLEVUE KY
41073-1393
US

IV. Provider business mailing address

1401 MADISON AVE
COVINGTON KY
41011-3313
US

V. Phone/Fax

Practice location:
  • Phone: 859-655-6100
  • Fax: 859-655-6186
Mailing address:
  • Phone: 859-655-6100
  • Fax: 859-655-6148

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number0041
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number981223
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberE892
License Number StateOH
# 4
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberKY-0603
License Number StateKY
# 5
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberI-0000208
License Number StateOH
# 6
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number876
License Number StateKY
# 7
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberKY-876
License Number StateKY
# 8
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberKY-0027
License Number StateKY
# 9
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberF-0000049
License Number StateOH
# 10
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0876
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: