Provider Demographics
NPI:1578131207
Name:BOYD HINTON, ANNE CHINITA
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:CHINITA
Last Name:BOYD HINTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:711 GARDEN ST # 1
Mailing Address - Street 2:
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-4003
Mailing Address - Country:US
Mailing Address - Phone:551-655-8626
Mailing Address - Fax:
Practice Address - Street 1:711 GARDEN ST # 1
Practice Address - Street 2:
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030-4003
Practice Address - Country:US
Practice Address - Phone:551-655-8626
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-17
Last Update Date:2021-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00320600101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional