Provider Demographics
NPI:1891851432
Name:ADVANCED PSYCH SOLUTIONS INCORPORATED
Entity Type:Organization
Organization Name:ADVANCED PSYCH SOLUTIONS INCORPORATED
Other - Org Name:LILLIE GILLEN HINKELMAN, LCSW
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LILLIE
Authorized Official - Middle Name:GILLEN
Authorized Official - Last Name:HINKELMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:214-364-8658
Mailing Address - Street 1:2006 CARTIER XING
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-5632
Mailing Address - Country:US
Mailing Address - Phone:214-364-8658
Mailing Address - Fax:214-364-8658
Practice Address - Street 1:2405 STONEWALL ST STE 8
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:TX
Practice Address - Zip Code:75401-3349
Practice Address - Country:US
Practice Address - Phone:903-454-3300
Practice Address - Fax:903-454-3307
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-28
Last Update Date:2007-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX341041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00X700Medicare PIN