Healthcare Provider Details

I. General information

NPI: 1427873801
Provider Name (Legal Business Name): LISA HILL PLPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/20/2024
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

760 PLANTATION BLVD
SIKESTON MO
63801-5736
US

IV. Provider business mailing address

PO BOX 484
WAPPAPELLO MO
63966-0484
US

V. Phone/Fax

Practice location:
  • Phone: 570-471-0800
  • Fax:
Mailing address:
  • Phone: 870-318-5914
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number2025050869
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: