Provider Demographics
NPI:1750638862
Name:HINSON, TONIA TYUS
Entity type:Individual
Prefix:
First Name:TONIA
Middle Name:TYUS
Last Name:HINSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1675 DELTA LN
Mailing Address - Street 2:
Mailing Address - City:MARIANNA
Mailing Address - State:FL
Mailing Address - Zip Code:32448-7325
Mailing Address - Country:US
Mailing Address - Phone:850-573-2686
Mailing Address - Fax:
Practice Address - Street 1:1675 DELTA LN
Practice Address - Street 2:
Practice Address - City:MARIANNA
Practice Address - State:FL
Practice Address - Zip Code:32448-7325
Practice Address - Country:US
Practice Address - Phone:850-573-2686
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-08
Last Update Date:2012-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor