Healthcare Provider Details
I. General information
NPI: 1124239975
Provider Name (Legal Business Name): DIANE FRANCES HILL LMSW,LPC,CAC-R
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 05/24/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
103 WEST U.S. 2
WAKEFIELD MI
49968
US
IV. Provider business mailing address
7568N LITTLE PINE ROAD
HURLEY WI
54534
US
V. Phone/Fax
- Phone: 906-229-6120
- Fax:
- Phone: 715-476-2536
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | 6401000948 |
| License Number State | MI |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | 6801033239 |
| License Number State | MI |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: