Provider Demographics
NPI:1508388471
Name:HINKSON, JOANNE BELK (LPCA)
Entity Type:Individual
Prefix:MRS
First Name:JOANNE
Middle Name:BELK
Last Name:HINKSON
Suffix:
Gender:F
Credentials:LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11325 PUMP STATION RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28216-9703
Mailing Address - Country:US
Mailing Address - Phone:704-575-5053
Mailing Address - Fax:
Practice Address - Street 1:1630 DALE EARNHARDT BLVD
Practice Address - Street 2:
Practice Address - City:KANNAPOLIS
Practice Address - State:NC
Practice Address - Zip Code:28083-3210
Practice Address - Country:US
Practice Address - Phone:704-575-5053
Practice Address - Fax:704-655-2799
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-12
Last Update Date:2017-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA13057101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional