Provider Demographics
NPI:1295873842
Name:HILL, TANYA LASHA (MS, NCC)
Entity type:Individual
Prefix:MS
First Name:TANYA
Middle Name:LASHA
Last Name:HILL
Suffix:
Gender:F
Credentials:MS, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5857 THIRD COVE
Mailing Address - Street 2:APT. 5
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38134
Mailing Address - Country:US
Mailing Address - Phone:901-212-2011
Mailing Address - Fax:
Practice Address - Street 1:7410 MEMPHIS-ARLINGTON ROAD
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38135
Practice Address - Country:US
Practice Address - Phone:901-252-7806
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health