Provider Demographics
NPI:1144835935
Name:BLUE HILL THERAPY PLLC
Entity type:Organization
Organization Name:BLUE HILL THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST/OWNDER
Authorized Official - Prefix:
Authorized Official - First Name:CARIE
Authorized Official - Middle Name:ASHLEY
Authorized Official - Last Name:HUDSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-265-3927
Mailing Address - Street 1:623 ARLINGTON ST
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-6701
Mailing Address - Country:US
Mailing Address - Phone:919-265-3927
Mailing Address - Fax:
Practice Address - Street 1:623 ARLINGTON ST
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-6701
Practice Address - Country:US
Practice Address - Phone:919-265-3927
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-09
Last Update Date:2020-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
No261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and SpeechGroup - Single Specialty