Patricia Ann Hinckley, LLPC
Individual provider Active NPI Counselor · Lawton, MI
NPI 1104291996 · NPPES record last updated Dec 5, 2015
Key facts
- NPI
- 1104291996
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- 6401013965 (MI)
- Practice address
- 71125 26TH St
Lawton, MI 49065-5608 - Phone
- (269) 760-8009
- NPI assigned
- Dec 5, 2015
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401013965 | MI | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Counselor | Current | Accepting new patients |
Interoperability endpoints
- patriciahinckley@tdh.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6401013965 | MI | Yes |
Addresses
Primary practice location
71125 26TH St
Lawton, MI 49065-5608
Mailing address
71125 26TH St
Lawton, MI 49065-5608
Phone (269) 760-8009
Other providers in Lawton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.