Provider Demographics
NPI:1356869085
Name:DOYLE-HINES, TINA BARBETTE (LPC)
Entity type:Individual
Prefix:
First Name:TINA
Middle Name:BARBETTE
Last Name:DOYLE-HINES
Suffix:
Gender:
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:904 ROCK FALLS DR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-3450
Mailing Address - Country:US
Mailing Address - Phone:301-503-5481
Mailing Address - Fax:
Practice Address - Street 1:16160 MIDWAY RD STE 218
Practice Address - Street 2:
Practice Address - City:ADDISON
Practice Address - State:TX
Practice Address - Zip Code:75001-4207
Practice Address - Country:US
Practice Address - Phone:469-680-3500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX77432101YM0800X, 101YP2500X
MDLC7341101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX77432OtherTEXAS STATE BOARD OF EXAMINERS OF PROFESSIONAL COUNSELORS
MDLC7341OtherTHE MARYLAND STATE BOARD OF PROFESSIONAL COUNSELORS AND THERAPISTS
TX473716599OtherTAX ID