Provider Demographics
NPI:1861986754
Name:HILL, BROOKE (LICSW, PIP)
Entity type:Individual
Prefix:MS
First Name:BROOKE
Middle Name:
Last Name:HILL
Suffix:
Gender:F
Credentials:LICSW, PIP
Other - Prefix:
Other - First Name:BROOKE
Other - Middle Name:
Other - Last Name:HILL,LICSW, PIP, LLC
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BROOKE HILL, LICSW
Mailing Address - Street 1:1512 MORGAN WAY # 630
Mailing Address - Street 2:
Mailing Address - City:FULTONDALE
Mailing Address - State:AL
Mailing Address - Zip Code:35068-2822
Mailing Address - Country:US
Mailing Address - Phone:205-706-5417
Mailing Address - Fax:205-859-8887
Practice Address - Street 1:1512 MORGAN WAY # 630
Practice Address - Street 2:
Practice Address - City:FULTONDALE
Practice Address - State:AL
Practice Address - Zip Code:35068-2822
Practice Address - Country:US
Practice Address - Phone:205-706-5417
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-14
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4165C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty