Healthcare Provider Details

I. General information

NPI: 1780716357
Provider Name (Legal Business Name): CHRISTINA K HILL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CHRISTINA KELLEY HILL MS

II. Dates (important events)

Enumeration Date: 03/09/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

128 GRANT AVE SUITE 103
SANTA FE NM
87501-2031
US

IV. Provider business mailing address

610 PASEO
SANTA FE NM
87501
US

V. Phone/Fax

Practice location:
  • Phone: 505-660-1110
  • Fax:
Mailing address:
  • Phone: 505-660-1110
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number4761
License Number StateNM
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberI4169
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: