MEDICARE: CARRIE HILL

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	106H00000X	Marriage & Family Therapist	LMFT138387	CA

General Provider Information

NPI Number	:	1174125504
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARRIE HILL

Provider Business Mailing Address
First Line	:	PO BOX 633121
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92163-3121
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1545 HOTEL CIR S STE 250
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92108-3428
Country	:	US
Telephone Number	:	619-304-0879
Fax Number	:

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

Provider Enumeration Date	:	11/11/2020
Last Update Date	:	05/22/2025

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Directions to “ CARRIE HILL ” Practice Location

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