Basic Information
| Provider Information | |||||||||
| NPI: | 1376056887 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HOY-NIELSEN | ||||||||
| FirstName: | LILLIANA | ||||||||
| MiddleName: | MAGALI | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2451 E SKIPPING ROCK WAY | ||||||||
| Address2: | |||||||||
| City: | ORO VALLEY | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 857374604 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5209098829 | ||||||||
| FaxNumber: | 5209007246 | ||||||||
| Practice Location | |||||||||
| Address1: | 3295 W INA RD | ||||||||
| Address2: | |||||||||
| City: | TUCSON | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 857412191 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5207444376 | ||||||||
| FaxNumber: | 5205791138 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/07/2017 | ||||||||
| LastUpdateDate: | 08/03/2021 | ||||||||
| NPIDeactivationReasonCode: | |||||||||
| NPIDeactivationDate: | 05/20/2021 | ||||||||
| NPIReactivationDate: | 08/03/2021 | ||||||||
| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/03/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | LCSW-16582 | AZ | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.