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NPI 1982255691

NPI 1982255691 : AVA HILL MS, LPC : HOUSTON, TX

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General NPI Number Information
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    NPI Number           |    1982255691
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    Entity Type          |    Individual 
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    Provider Name        |    AVA HILL MS, LPC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/24/2019
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    Last Update Date     |    07/17/2023
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Provider Practice Location Address
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    Address Line         |    12712 W LAKE HOUSTON PKWY # B-4068 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77044-6467
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    Country              |    US
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    Telephone            |    346-552-9377
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    Fax                  |    346-509-4991
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Provider Business Mailing Address
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    Address Line         |    12712 W LAKE HOUSTON PKWY # B-4068 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77044-6467
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    Country              |    US
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    Telephone            |    346-552-9377
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    Fax                  |    346-509-4991
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    7043
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    License Number State |    LA
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