Provider Demographics
NPI:1164065819
Name:HINTON, ELIZABETH A (LPCMH)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:A
Last Name:HINTON
Suffix:
Gender:F
Credentials:LPCMH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:58 ALEXIS DR
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19702-5494
Mailing Address - Country:US
Mailing Address - Phone:302-883-7579
Mailing Address - Fax:
Practice Address - Street 1:58 ALEXIS DR
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19702-5494
Practice Address - Country:US
Practice Address - Phone:302-883-7579
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-25
Last Update Date:2019-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEPC-0000943101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health