Provider Demographics
NPI:1538483805
Name:GRIMSLEY-HINKLEY, CHARITY (LPC, LAC, MAC, SAP)
Entity Type:Individual
Prefix:
First Name:CHARITY
Middle Name:
Last Name:GRIMSLEY-HINKLEY
Suffix:
Gender:F
Credentials:LPC, LAC, MAC, SAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4045 WADSWORTH BLVD STE 306
Mailing Address - Street 2:
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80033-4626
Mailing Address - Country:US
Mailing Address - Phone:720-295-4852
Mailing Address - Fax:
Practice Address - Street 1:4045 WADSWORTH BLVD STE 306
Practice Address - Street 2:
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033-4626
Practice Address - Country:US
Practice Address - Phone:720-295-4852
Practice Address - Fax:720-306-3572
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-16
Last Update Date:2018-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COACD.0000291101YA0400X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty