MEDICARE: MRS. LEA ANN HILLHOUSE LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	982	MS

General Provider Information

NPI Number	:	1245384213
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LEA ANN HILLHOUSE LPC

Provider Business Mailing Address
First Line	:	PO BOX 22
Second Line	:
City	:	HOULKA
State	:	MS
Zip	:	38850-0022
Country	:	US
Telephone Number	:	662-568-2366
Fax Number	:

Provider Business Practice Location Address
First Line	:	223 E WASHINGTON ST
Second Line	:
City	:	HOUSTON
State	:	MS
Zip	:	38851-2326
Country	:	US
Telephone Number	:	662-456-9977
Fax Number	:	662-456-9980

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/23/2007
Last Update Date	:	01/23/2024

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