Provider Demographics
NPI:1851943054
Name:JUANITA D. HINTON, MSW, LMSW-LLC
Entity Type:Organization
Organization Name:JUANITA D. HINTON, MSW, LMSW-LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:JUANITA
Authorized Official - Middle Name:D
Authorized Official - Last Name:HINTON
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:313-727-1044
Mailing Address - Street 1:7608 ALLEN RD
Mailing Address - Street 2:
Mailing Address - City:ALLEN PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48101-1926
Mailing Address - Country:US
Mailing Address - Phone:313-957-1157
Mailing Address - Fax:
Practice Address - Street 1:7608 ALLEN RD
Practice Address - Street 2:
Practice Address - City:ALLEN PARK
Practice Address - State:MI
Practice Address - Zip Code:48101-1926
Practice Address - Country:US
Practice Address - Phone:313-957-1157
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-09
Last Update Date:2019-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty