Healthcare Provider Details

I. General information

NPI: 1346975596
Provider Name (Legal Business Name): DR. HILL & THE HEALING COLLECTIVE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2022
Last Update Date: 07/21/2022
Certification Date: 07/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2913 BARTON AVE
RICHMOND VA
23222-3707
US

IV. Provider business mailing address

2913 BARTON AVE
RICHMOND VA
23222-3707
US

V. Phone/Fax

Practice location:
  • Phone: 978-999-2732
  • Fax:
Mailing address:
  • Phone: 978-999-2732
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TH0004X
TaxonomyHealth Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103TP0814X
TaxonomyPsychoanalysis Psychologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: TAMARA C HILL
Title or Position: CEO
Credential: PSYD, MBA
Phone: 978-999-2732