Healthcare Provider Details

I. General information

NPI: 1407201072
Provider Name (Legal Business Name): ALICIA HILL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2016
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

271 S MAIN ST
EPHRAIM UT
84627-1313
US

IV. Provider business mailing address

271 S MAIN ST
EPHRAIM UT
84627-1313
US

V. Phone/Fax

Practice location:
  • Phone: 435-445-5200
  • Fax: 435-445-5201
Mailing address:
  • Phone: 435-445-5200
  • Fax: 435-445-5201

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number10798162-6004
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: