Provider Demographics
NPI:1881868115
Name:HINTON, SHERIDA YVETTE (LCMHC-A, LCAS-A)
Entity Type:Individual
Prefix:
First Name:SHERIDA
Middle Name:YVETTE
Last Name:HINTON
Suffix:
Gender:F
Credentials:LCMHC-A, LCAS-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:122 E SAINT JAMES ST
Mailing Address - Street 2:
Mailing Address - City:TARBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27886-5016
Mailing Address - Country:US
Mailing Address - Phone:252-565-3196
Mailing Address - Fax:
Practice Address - Street 1:509 ELLIS RD
Practice Address - Street 2:
Practice Address - City:TARBORO
Practice Address - State:NC
Practice Address - Zip Code:27886-8320
Practice Address - Country:US
Practice Address - Phone:252-565-3196
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-17
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health