Provider Demographics
NPI:1356539514
Name:HINDS, LILLIAN M (LPC)
Entity type:Individual
Prefix:MRS
First Name:LILLIAN
Middle Name:M
Last Name:HINDS
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 1:620 PARK LN
Mailing Address - Street 2:
Mailing Address - City:HEWITT
Mailing Address - State:TX
Mailing Address - Zip Code:76643-3295
Mailing Address - Country:US
Mailing Address - Phone:254-230-3024
Mailing Address - Fax:254-471-5710
Practice Address - Street 1:6585 S FM 183
Practice Address - Street 2:
Practice Address - City:EVANT
Practice Address - State:TX
Practice Address - Zip Code:76525-6868
Practice Address - Country:US
Practice Address - Phone:254-471-5709
Practice Address - Fax:254-471-5710
Is Sole Proprietor?:No
Enumeration Date:2007-10-11
Last Update Date:2007-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12783101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional