Healthcare Provider Details

I. General information

NPI: 1922886902
Provider Name (Legal Business Name): JARID HILL MA, LPC, NCC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/20/2023
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1777 AXTELL DR STE 202
TROY MI
48084-4435
US

IV. Provider business mailing address

2416 MALENA LN
OXFORD MI
48371-4355
US

V. Phone/Fax

Practice location:
  • Phone: 810-207-5158
  • Fax:
Mailing address:
  • Phone: 248-860-4597
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6401226254
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: