Provider Demographics
NPI:1932326089
Name:HINCHLIFFE, FARRAH ELIZABETH (LPC, LMHC)
Entity Type:Individual
Prefix:MRS
First Name:FARRAH
Middle Name:ELIZABETH
Last Name:HINCHLIFFE
Suffix:
Gender:F
Credentials:LPC, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:96381 GRANITE TRL
Mailing Address - Street 2:
Mailing Address - City:YULEE
Mailing Address - State:FL
Mailing Address - Zip Code:32097-3632
Mailing Address - Country:US
Mailing Address - Phone:904-557-0866
Mailing Address - Fax:
Practice Address - Street 1:96381 GRANITE TRL
Practice Address - Street 2:
Practice Address - City:YULEE
Practice Address - State:FL
Practice Address - Zip Code:32097-3632
Practice Address - Country:US
Practice Address - Phone:904-557-0866
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-19
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC007654101YP2500X
ORT0644106H00000X
FL21637101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist