Provider Demographics
NPI:1457468290
Name:HINDS, CAROL LEE (OTR-L AND CRC)
Entity Type:Individual
Prefix:MRS
First Name:CAROL
Middle Name:LEE
Last Name:HINDS
Suffix:
Gender:F
Credentials:OTR-L AND CRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12106 144TH ST
Mailing Address - Street 2:
Mailing Address - City:ANDERSON ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98303-8701
Mailing Address - Country:US
Mailing Address - Phone:253-884-6911
Mailing Address - Fax:
Practice Address - Street 1:9900 VETERANS DR SW
Practice Address - Street 2:A116
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98493-5000
Practice Address - Country:US
Practice Address - Phone:253-582-8440
Practice Address - Fax:253-589-4042
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA00010891101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional