Provider Demographics
NPI:1821660929
Name:HILL, CAROLINE ANN (MED, SEA, PC)
Entity Type:Individual
Prefix:MRS
First Name:CAROLINE
Middle Name:ANN
Last Name:HILL
Suffix:
Gender:F
Credentials:MED, SEA, PC
Other - Prefix:MS
Other - First Name:CAROLINE
Other - Middle Name:ANN
Other - Last Name:BAKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1456 KINGSBURY DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45240-2146
Mailing Address - Country:US
Mailing Address - Phone:513-225-3966
Mailing Address - Fax:
Practice Address - Street 1:4130 LINDEN AVE STE 185
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45432-3040
Practice Address - Country:US
Practice Address - Phone:513-453-7022
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-16
Last Update Date:2021-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health