Provider Demographics
NPI:1265265359
Name:HINKIE, KIMBERLY GRISHAM (LPC)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:GRISHAM
Last Name:HINKIE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2513 TWIN BRIDGES RD
Mailing Address - Street 2:
Mailing Address - City:SILSBEE
Mailing Address - State:TX
Mailing Address - Zip Code:77656-7497
Mailing Address - Country:US
Mailing Address - Phone:409-239-9110
Mailing Address - Fax:
Practice Address - Street 1:2513 TWIN BRIDGES RD
Practice Address - Street 2:
Practice Address - City:SILSBEE
Practice Address - State:TX
Practice Address - Zip Code:77656-7497
Practice Address - Country:US
Practice Address - Phone:409-239-9110
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-23
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX90409101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health