Provider Demographics
NPI:1811570831
Name:HINKLEY, FELICIA A (LADC, CCS)
Entity type:Individual
Prefix:
First Name:FELICIA
Middle Name:A
Last Name:HINKLEY
Suffix:
Gender:F
Credentials:LADC, CCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4
Mailing Address - Street 2:
Mailing Address - City:PHILLIPS
Mailing Address - State:ME
Mailing Address - Zip Code:04966-0004
Mailing Address - Country:US
Mailing Address - Phone:207-670-8464
Mailing Address - Fax:
Practice Address - Street 1:16 WHISTLE POST WAY
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:ME
Practice Address - Zip Code:04966-3055
Practice Address - Country:US
Practice Address - Phone:207-670-8464
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-29
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECCS8427101YA0400X
MELC7731101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)