Provider Demographics
NPI:1831369776
Name:HINKLE, BONNIE B (LPC)
Entity type:Individual
Prefix:DR
First Name:BONNIE
Middle Name:B
Last Name:HINKLE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:213 WILSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:RED OAK
Mailing Address - State:TX
Mailing Address - Zip Code:75154-2041
Mailing Address - Country:US
Mailing Address - Phone:214-206-7509
Mailing Address - Fax:214-333-5568
Practice Address - Street 1:213 WILSHIRE DR
Practice Address - Street 2:
Practice Address - City:RED OAK
Practice Address - State:TX
Practice Address - Zip Code:75154-2041
Practice Address - Country:US
Practice Address - Phone:214-206-7509
Practice Address - Fax:214-333-5568
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-06
Last Update Date:2008-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX09789101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health