Grant Phillip Hinson, CSAC, QMHP-A, RPRS
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Floyd, VA
NPI 1811634355 · NPPES record last updated May 17, 2022
Key facts
- NPI
- 1811634355
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 0710103449 (VA)
- Practice address
- 148 Rehoboth LN NE
Floyd, VA 24091-1130 - Phone
- (540) 745-4001
- Fax
- (540) 858-1913
- NPI assigned
- May 17, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|
| 0710103449 | VA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eagles Nest Regeneration Inc. | Current |
Accepting new patients |
Locations
148 Rehoboth Ln NE
Floyd, VA 24091
Phone (540) 745-4001
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0710103449 | VA | Yes |
Addresses
Primary practice location
148 Rehoboth LN NE
Floyd, VA 24091-1130
Mailing address
355 Overland Dr
Christiansburg, VA 24073-4715
Phone (540) 392-2110
Other providers in Floyd, VA
- Greenecare Counseling LLC
- H2 Rehabilitation Services of Virginia, LLC
- Heidi Hawkins
- Healing Studio LLC
- Christy L Hensley
- Wayne D Horney
- Nancy Hosey
- Joel M. Hullett
- Karl C. Saliba, O.D., PC
- Natalie Marie Kibat
All providers in Floyd, VA · Addiction (Substance Use Disorder) Counselor in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 17, 2022. 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.