Provider Demographics
NPI:1831333962
Name:HINKLE, PATRICK J (LPC & LMFT)
Entity type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:J
Last Name:HINKLE
Suffix:
Gender:M
Credentials:LPC & LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10801 W 87TH ST
Mailing Address - Street 2:#300
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66214-1657
Mailing Address - Country:US
Mailing Address - Phone:913-438-2100
Mailing Address - Fax:913-438-2119
Practice Address - Street 1:10801 W 87TH ST
Practice Address - Street 2:#300
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66214-1657
Practice Address - Country:US
Practice Address - Phone:913-438-2100
Practice Address - Fax:913-438-2119
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-20
Last Update Date:2009-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2067101YP2500X
KS1045106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist