Provider Demographics
NPI:1477831683
Name:HINKLE, KRISTA J (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:KRISTA
Middle Name:J
Last Name:HINKLE
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:KRISTA
Other - Middle Name:J
Other - Last Name:FURLOW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW, LCSW
Mailing Address - Street 1:205 COBBLEPOINT WAY
Mailing Address - Street 2:
Mailing Address - City:HOLLY SPRINGS
Mailing Address - State:NC
Mailing Address - Zip Code:27540-8251
Mailing Address - Country:US
Mailing Address - Phone:919-656-8824
Mailing Address - Fax:
Practice Address - Street 1:205 COBBLEPOINT WAY
Practice Address - Street 2:
Practice Address - City:HOLLY SPRINGS
Practice Address - State:NC
Practice Address - Zip Code:27540-8251
Practice Address - Country:US
Practice Address - Phone:191-965-6882
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-22
Last Update Date:2022-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0052431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical