Provider Demographics
NPI:1710638176
Name:HINKLE, EMILY ANN (MSCP,LPCC)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:ANN
Last Name:HINKLE
Suffix:
Gender:F
Credentials:MSCP,LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 INTERLOCKEN BLVD STE 106
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80021-3409
Mailing Address - Country:US
Mailing Address - Phone:720-399-7332
Mailing Address - Fax:
Practice Address - Street 1:350 INTERLOCKEN BLVD STE 106
Practice Address - Street 2:
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80021-3409
Practice Address - Country:US
Practice Address - Phone:720-399-7332
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-17
Last Update Date:2022-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.0017579101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health