Healthcare Provider Details

I. General information

NPI: 1295373694
Provider Name (Legal Business Name): CINDY ANN HILL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/16/2019
Last Update Date: 12/16/2019
Certification Date: 12/16/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3707 N 7TH ST STE 310
PHOENIX AZ
85014-5014
US

IV. Provider business mailing address

4241 W DESERT COVE AVE
PHOENIX AZ
85029-3851
US

V. Phone/Fax

Practice location:
  • Phone: 602-566-7627
  • Fax:
Mailing address:
  • Phone: 623-687-1756
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: