Provider Demographics
NPI:1346016789
Name:HINSON, ARQUAVIA (LCSW)
Entity Type:Individual
Prefix:
First Name:ARQUAVIA
Middle Name:
Last Name:HINSON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13408 SW 282ND ST
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33033-1932
Mailing Address - Country:US
Mailing Address - Phone:305-332-8603
Mailing Address - Fax:
Practice Address - Street 1:13408 SW 282ND ST
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33033-1932
Practice Address - Country:US
Practice Address - Phone:305-332-8603
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-28
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW204801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical