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Provider Information for 1811544547


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Ms. JUDITH LOPSHIRE HILL LPC


Sex: Female

NPI: 1811544547
Last Updated: 2020-02-10
Certification Date: 2020-02-10

Details

NameValue
NPI1811544547
Enumeration Date2019-08-19
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 3300 36TH ST SE
GRAND RAPIDS, MI 49512-2810
United States

Phone: 616-942-2110 | Fax:
 
Primary Practice Address 12930 JAMES ST STE 210
HOLLAND, MI 49424-8324
United States

Phone: 616-977-4992 | Fax:844-525-7550
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
CONNECT URL
Holland
Direct Holland 12930 James St Ste 210
Holland, MI 49424-8324
United States
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YP2500X - Counselor - ProfessionalMI6401002772