Provider Demographics
NPI:1275945537
Name:HINKLE COUNSELING & PSYCHOLOGICAL CENTER, PLLC
Entity Type:Organization
Organization Name:HINKLE COUNSELING & PSYCHOLOGICAL CENTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:HINKLE
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:304-848-0660
Mailing Address - Street 1:147 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BRIDGEPORT
Mailing Address - State:WV
Mailing Address - Zip Code:26330-1755
Mailing Address - Country:US
Mailing Address - Phone:304-848-0660
Mailing Address - Fax:
Practice Address - Street 1:147 E MAIN ST
Practice Address - Street 2:
Practice Address - City:BRIDGEPORT
Practice Address - State:WV
Practice Address - Zip Code:26330-1755
Practice Address - Country:US
Practice Address - Phone:304-848-0660
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-21
Last Update Date:2014-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV948103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty