Healthcare Provider Details

I. General information

NPI: 1548118748
Provider Name (Legal Business Name): COREY HILL
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/21/2026
Last Update Date: 03/21/2026
Certification Date: 03/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1930 BENSON DR
DAYTON OH
45406-4404
US

IV. Provider business mailing address

1930 BENSON DR
DAYTON OH
45406-4404
US

V. Phone/Fax

Practice location:
  • Phone: 937-759-5011
  • Fax: 855-300-5330
Mailing address:
  • Phone: 937-759-5011
  • Fax: 855-300-5330

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: