Provider Demographics
NPI:1548951684
Name:HILL, MORIAH NICOLE
Entity type:Individual
Prefix:
First Name:MORIAH
Middle Name:NICOLE
Last Name:HILL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3208 E INDIAN TRL APT 19
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40213-2871
Mailing Address - Country:US
Mailing Address - Phone:859-779-2528
Mailing Address - Fax:
Practice Address - Street 1:3208 E INDIAN TRL APT 19
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40213-2871
Practice Address - Country:US
Practice Address - Phone:859-779-2528
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-18
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician