Healthcare Provider Details

I. General information

NPI: 1871329920
Provider Name (Legal Business Name): LAVOREYHA HILL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/13/2024
Last Update Date: 09/13/2024
Certification Date: 09/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11820 CYPRESS CORNER LN
HOUSTON TX
77065-1132
US

IV. Provider business mailing address

3045 N COMMERCE PKWY
MIRAMAR FL
33025-3927
US

V. Phone/Fax

Practice location:
  • Phone: 281-894-1423
  • Fax: 832-912-4475
Mailing address:
  • Phone: 786-953-8500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: