MEDICARE: TRACI A HILL LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	2412	OK

General Provider Information

NPI Number	:	1144493438
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRACI A HILL LPC

Provider Business Mailing Address
First Line	:	11212 N MAY AVE STE 208
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73120-6335
Country	:	US
Telephone Number	:	405-651-4298
Fax Number	:	405-778-6258

Provider Business Practice Location Address
First Line	:	11212 N MAY AVE STE 208
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73120-6335
Country	:	US
Telephone Number	:	405-651-4298
Fax Number	:	405-778-6258

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/08/2008
Last Update Date	:	03/14/2026

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