Provider Demographics
NPI:1033695788
Name:CARRIE L HINDS LLC
Entity Type:Organization
Organization Name:CARRIE L HINDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:HINDS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:970-270-2851
Mailing Address - Street 1:PO BOX 453
Mailing Address - Street 2:
Mailing Address - City:SILVER CITY
Mailing Address - State:NM
Mailing Address - Zip Code:88062-0453
Mailing Address - Country:US
Mailing Address - Phone:970-270-2851
Mailing Address - Fax:970-628-4991
Practice Address - Street 1:309 N CHEYENNE AVE
Practice Address - Street 2:
Practice Address - City:SILVER CITY
Practice Address - State:NM
Practice Address - Zip Code:88061-3725
Practice Address - Country:US
Practice Address - Phone:970-270-2851
Practice Address - Fax:970-628-4991
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-16
Last Update Date:2020-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW.000006061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty