Provider Demographics
NPI:1528550308
Name:MIPRO, LISA HINKEL (LPC)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:HINKEL
Last Name:MIPRO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 LAKEWOOD ESTATES DR # DT
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70131-8300
Mailing Address - Country:US
Mailing Address - Phone:504-390-1416
Mailing Address - Fax:
Practice Address - Street 1:2439 MANHATTAN BLVD STE 309
Practice Address - Street 2:
Practice Address - City:HARVEY
Practice Address - State:LA
Practice Address - Zip Code:70058-5360
Practice Address - Country:US
Practice Address - Phone:504-390-1416
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-06
Last Update Date:2018-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2088101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty