Provider Demographics
NPI:1871208835
Name:HILL, SAMANTHA L (LMHCA)
Entity type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:L
Last Name:HILL
Suffix:
Gender:F
Credentials:LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1410 N MAPLEWOOD AVE UNIT 1B
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60622-1641
Mailing Address - Country:US
Mailing Address - Phone:765-585-2293
Mailing Address - Fax:
Practice Address - Street 1:333 N MICHIGAN AVE STE 1010
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60601-3729
Practice Address - Country:US
Practice Address - Phone:312-219-3399
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-13
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN88001714A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health