Provider Demographics
NPI:1376952135
Name:HILL, JANE (PHD, LPC, LMHC QS)
Entity type:Individual
Prefix:DR
First Name:JANE
Middle Name:
Last Name:HILL
Suffix:
Gender:F
Credentials:PHD, LPC, LMHC QS
Other - Prefix:DR
Other - First Name:JANE
Other - Middle Name:
Other - Last Name:HILL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD, LPC, LMHC QS
Mailing Address - Street 1:907 BIANCA DR. NE
Mailing Address - Street 2:
Mailing Address - City:PALM BAY
Mailing Address - State:FL
Mailing Address - Zip Code:32905
Mailing Address - Country:US
Mailing Address - Phone:321-376-3059
Mailing Address - Fax:
Practice Address - Street 1:907 BIANCA DR. NE
Practice Address - Street 2:
Practice Address - City:PALM BAY
Practice Address - State:FL
Practice Address - Zip Code:32905
Practice Address - Country:US
Practice Address - Phone:321-376-3059
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-06
Last Update Date:2025-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX70539101YP2500X, 101YM0800X
FLMH16107101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health