Provider Demographics
NPI:1780735225
Name:HINDMAN, EMILY (MED, LPC)
Entity type:Individual
Prefix:MS
First Name:EMILY
Middle Name:
Last Name:HINDMAN
Suffix:
Gender:F
Credentials:MED, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 N MAIN ST
Mailing Address - Street 2:SUITE 511
Mailing Address - City:CORSICANA
Mailing Address - State:TX
Mailing Address - Zip Code:75110-5215
Mailing Address - Country:US
Mailing Address - Phone:903-851-5058
Mailing Address - Fax:903-874-1348
Practice Address - Street 1:100 N MAIN ST
Practice Address - Street 2:SUITE 511
Practice Address - City:CORSICANA
Practice Address - State:TX
Practice Address - Zip Code:75110-5215
Practice Address - Country:US
Practice Address - Phone:903-851-5058
Practice Address - Fax:903-874-1348
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-12
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17226101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX481488Medicaid
TX6356LCOtherBCBS