Provider Demographics
NPI:1093984361
Name:HILL, AMBER L (PHD, LPCCS)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:L
Last Name:HILL
Suffix:
Gender:F
Credentials:PHD, LPCCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:815 CROCKER RD STE 5
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-1072
Mailing Address - Country:US
Mailing Address - Phone:440-292-9060
Mailing Address - Fax:
Practice Address - Street 1:815 CROCKER RD STE 5
Practice Address - Street 2:
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-1072
Practice Address - Country:US
Practice Address - Phone:440-202-9060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-21
Last Update Date:2025-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC-0501188-TRNE101Y00000X
OHE0501188SUPV101YM0800X
OH7018103T00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3025372Medicaid
OH3025372Medicaid