Edd Hill

Individual provider Active NPI Marriage & Family Therapist · Siren, WI

NPI 1003208356 · NPPES record last updated Feb 24, 2015

Key facts

NPI
1003208356
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
872-124 (WI)
Practice address
24248 State Road 35 70
Unit D
Siren, WI 54872-5001
Phone
(715) 349-7233
Fax
(715) 349-7205
NPI assigned
Feb 24, 2015
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
872-124WIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Counseling Centers Employee Support Systems, Inc. Past
since Jan 20, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 872-124 WI Yes

Addresses

Primary practice location

24248 State Road 35 70
Unit D
Siren, WI 54872-5001

Mailing address

24248 State Road 35 70
Unit D
Siren, WI 54872-5001
Phone (715) 349-7233

Other providers in Siren, WI

All providers in Siren, WI · Marriage & Family Therapist in Wisconsin

Sources for this page

Verify at the official NPI Registry.