Provider Demographics
NPI:1891252367
Name:HINTON, CELESTINE
Entity Type:Individual
Prefix:
First Name:CELESTINE
Middle Name:
Last Name: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 1:1 OLYMPIC PL STE 900
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-4113
Mailing Address - Country:US
Mailing Address - Phone:800-357-0193
Mailing Address - Fax:
Practice Address - Street 1:1 OLYMPIC PL STE 900
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-4113
Practice Address - Country:US
Practice Address - Phone:800-357-0193
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-21
Last Update Date:2019-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator