Provider Demographics
NPI:1376538033
Name:HINDS, MICHAEL K (LMFT)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:K
Last Name:HINDS
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:95 W 100 S
Mailing Address - Street 2:SUITE 130
Mailing Address - City:LOGAN
Mailing Address - State:UT
Mailing Address - Zip Code:84321-5810
Mailing Address - Country:US
Mailing Address - Phone:435-752-4646
Mailing Address - Fax:435-755-0579
Practice Address - Street 1:95 W 100 S
Practice Address - Street 2:SUITE 130
Practice Address - City:LOGAN
Practice Address - State:UT
Practice Address - Zip Code:84321-5810
Practice Address - Country:US
Practice Address - Phone:435-752-4646
Practice Address - Fax:435-755-0579
Is Sole Proprietor?:No
Enumeration Date:2005-09-19
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT48456193902174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist