Provider Demographics
NPI:1417147083
Name:HINKLE, WILLIAM KEITH (LMFT)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:KEITH
Last Name:HINKLE
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:PO BOX 188
Mailing Address - Street 2:
Mailing Address - City:GREENEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37744-0188
Mailing Address - Country:US
Mailing Address - Phone:423-638-4171
Mailing Address - Fax:423-638-7171
Practice Address - Street 1:900 E HILL AVE
Practice Address - Street 2:SUITE 270
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37915-2566
Practice Address - Country:US
Practice Address - Phone:865-633-9844
Practice Address - Fax:865-633-5855
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-30
Last Update Date:2007-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLMT0000000239106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3697678Medicare UPIN