Provider Demographics
NPI:1730974411
Name:HILL, MORIAH (BS,IBCLC)
Entity type:Individual
Prefix:
First Name:MORIAH
Middle Name:
Last Name:HILL
Suffix:
Gender:
Credentials:BS,IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4368 LA BREA DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28216-2220
Mailing Address - Country:US
Mailing Address - Phone:704-618-8285
Mailing Address - Fax:
Practice Address - Street 1:4368 LA BREA DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28216-2220
Practice Address - Country:US
Practice Address - Phone:704-618-8285
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-12
Last Update Date:2025-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL-317455174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Single Specialty