Provider Demographics
NPI:1538308929
Name:HINDS, CATRINA D (LPCMH)
Entity Type:Individual
Prefix:MRS
First Name:CATRINA
Middle Name:D
Last Name:HINDS
Suffix:
Gender:F
Credentials:LPCMH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1310 MIDDLEFORD ROAD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:SEAFORD
Mailing Address - State:DE
Mailing Address - Zip Code:19973-3670
Mailing Address - Country:US
Mailing Address - Phone:302-536-1395
Mailing Address - Fax:300-253-6749
Practice Address - Street 1:1310 MIDDLEFORD ROAD
Practice Address - Street 2:SUITE 102
Practice Address - City:SEAFORD
Practice Address - State:DE
Practice Address - Zip Code:19973-3670
Practice Address - Country:US
Practice Address - Phone:302-536-7498
Practice Address - Fax:302-536-7498
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-09
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEPC0000494101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE002786010Medicaid