Provider Demographics
NPI:1831428481
Name:HILLS, TERESA A
Entity type:Individual
Prefix:
First Name:TERESA
Middle Name:A
Last Name:HILLS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:TERESA
Other - Middle Name:A
Other - Last Name:CARSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3671 BUSINESS DRIVE
Mailing Address - Street 2:ST. 110
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95820
Mailing Address - Country:US
Mailing Address - Phone:916-734-8396
Mailing Address - Fax:916-734-4150
Practice Address - Street 1:3671 BUSINESS DRIVE
Practice Address - Street 2:STE. 110
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95820
Practice Address - Country:US
Practice Address - Phone:916-734-8396
Practice Address - Fax:916-734-4150
Is Sole Proprietor?:No
Enumeration Date:2009-12-10
Last Update Date:2014-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health