Organization
DR. JILL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JILL HINEGARDNER PHD, LMHC (PRINCIPAL/OWNER)
(813) 220-8192
Entity
Organization
Contact information
Practice address
708 KINGSTON CT, APOLLO BEACH, FL 33572-2429
(813) 419-1745
(813) 922-6607
Mailing address
708 KINGSTON CT, APOLLO BEACH, FL 33572-2429
(813) 419-1745
(813) 922-6607
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MH9718
FL
Other
Enumeration date
02/03/2015
Last updated
02/03/2015
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