MEDICARE: MS. ANN CYNTHIA HILL 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	101YM0800X	Mental Health Counselor	15062	TX

General Provider Information

NPI Number	:	1407935505
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ANN CYNTHIA HILL LPC

Provider Business Mailing Address
First Line	:	5925 FOREST LN STE 419
Second Line	:	PRESTON FOREST TOWER
City	:	DALLAS
State	:	TX
Zip	:	75230-2757
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5925 FOREST LN STE 419
Second Line	:	PRESTON FOREST TOWER
City	:	DALLAS
State	:	TX
Zip	:	75230-2757
Country	:	US
Telephone Number	:	972-239-4554
Fax Number	:	972-239-4584

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

Provider Enumeration Date	:	11/02/2006
Last Update Date	:	07/08/2007

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