Provider Demographics
NPI:1487711396
Name:ENOLA-HINSON, HEIDI LIND (MA)
Entity type:Individual
Prefix:MS
First Name:HEIDI
Middle Name:LIND
Last Name:ENOLA-HINSON
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:159 WORCESTER RD STE 103
Mailing Address - Street 2:
Mailing Address - City:CHARLTON
Mailing Address - State:MA
Mailing Address - Zip Code:01507-1677
Mailing Address - Country:US
Mailing Address - Phone:508-469-3142
Mailing Address - Fax:
Practice Address - Street 1:159 WORCESTER RD STE 103
Practice Address - Street 2:
Practice Address - City:CHARLTON
Practice Address - State:MA
Practice Address - Zip Code:01507-1677
Practice Address - Country:US
Practice Address - Phone:508-469-3142
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2025-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALSWA414119101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health