Provider Demographics
NPI:1003050105
Name:HINSON, TAMERAN (LPC)
Entity Type:Individual
Prefix:MRS
First Name:TAMERAN
Middle Name:
Last Name:HINSON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2756 LAKE PARK RDG W
Mailing Address - Street 2:
Mailing Address - City:ACWORTH
Mailing Address - State:GA
Mailing Address - Zip Code:30101-6875
Mailing Address - Country:US
Mailing Address - Phone:770-529-4818
Mailing Address - Fax:
Practice Address - Street 1:2756 LAKE PARK RDG W
Practice Address - Street 2:
Practice Address - City:ACWORTH
Practice Address - State:GA
Practice Address - Zip Code:30101-6875
Practice Address - Country:US
Practice Address - Phone:770-529-4818
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-21
Last Update Date:2009-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC003890101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional