MEDICARE: AVA HILL MS, 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	7043	LA

General Provider Information

NPI Number	:	1982255691
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AVA HILL MS, LPC

Provider Business Mailing Address
First Line	:	12712 W LAKE HOUSTON PKWY # B-4068
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77044-6467
Country	:	US
Telephone Number	:	346-552-9377
Fax Number	:	346-509-4991

Provider Business Practice Location Address
First Line	:	12712 W LAKE HOUSTON PKWY # B-4068
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77044-6467
Country	:	US
Telephone Number	:	346-552-9377
Fax Number	:	346-509-4991

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

Provider Enumeration Date	:	09/24/2019
Last Update Date	:	07/17/2023

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