MEDICARE: STEPHANIE HILL PROFESSIONAL COUNSELING, LLC

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

General Provider Information

NPI Number	:	1831896372
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEPHANIE HILL PROFESSIONAL COUNSELING, LLC

Provider Business Mailing Address
First Line	:	1615 W CUCHARRAS ST
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80904-4036
Country	:	US
Telephone Number	:	719-247-3472
Fax Number	:	719-631-7028

Provider Business Practice Location Address
First Line	:	2418 W COLORADO AVENUE
Second Line	:	STUDIO I
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80904
Country	:	US
Telephone Number	:	719-247-3472
Fax Number	:	719-631-7028

Authorized Official
Title or Position	:	OWNER
Name	:	STEPHANIE HILL
Credential	:	LPC
Telephone Number	:	719-247-3472

Provider Enumeration Date	:	02/15/2023
Last Update Date	:	02/15/2023

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