Healthcare Provider Details

I. General information

NPI: 1558679621
Provider Name (Legal Business Name): NICHOLE HILL LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2010
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2563 W 260 N
HURRICANE UT
84737-1239
US

IV. Provider business mailing address

2563 W 260 N
HURRICANE UT
84737-1239
US

V. Phone/Fax

Practice location:
  • Phone: 801-362-9665
  • Fax:
Mailing address:
  • Phone: 801-362-9665
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number67799333502
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: