Provider Demographics
NPI:1043860216
Name:HINTON, SHENITHA LASHA
Entity Type:Individual
Prefix:
First Name:SHENITHA
Middle Name:LASHA
Last Name:HINTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1528 MOSELEY LN
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35215-5120
Mailing Address - Country:US
Mailing Address - Phone:205-572-8644
Mailing Address - Fax:
Practice Address - Street 1:1900 14TH AVE S
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35205-4906
Practice Address - Country:US
Practice Address - Phone:205-933-0338
Practice Address - Fax:205-933-0343
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-18
Last Update Date:2022-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALC3388A101Y00000X
AL4475101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor