Provider Demographics
NPI:1225664188
Name:HINSON, ASHLEY (MMFT, LPC-S)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:HINSON
Suffix:
Gender:F
Credentials:MMFT, LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 HAVEN CIR
Mailing Address - Street 2:
Mailing Address - City:DENISON
Mailing Address - State:TX
Mailing Address - Zip Code:75020-4080
Mailing Address - Country:US
Mailing Address - Phone:512-659-0011
Mailing Address - Fax:
Practice Address - Street 1:19 HAVEN CIR
Practice Address - Street 2:
Practice Address - City:DENISON
Practice Address - State:TX
Practice Address - Zip Code:75020-4080
Practice Address - Country:US
Practice Address - Phone:512-659-0011
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-22
Last Update Date:2020-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA63141101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional