Provider Demographics
NPI:1710435318
Name:HINSON, DEBRA P (LCMHC)
Entity type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:P
Last Name:HINSON
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:MS
Other - First Name:DEBRA
Other - Middle Name:PICKERING
Other - Last Name:MARTIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCMHC BEHAVIORAL HEA
Mailing Address - Street 1:6412 BANNINGTON ROAD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28226
Mailing Address - Country:US
Mailing Address - Phone:704-441-3307
Mailing Address - Fax:704-973-7835
Practice Address - Street 1:900 COPPERFIELD BLVD NE
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28025-2433
Practice Address - Country:US
Practice Address - Phone:704-721-0000
Practice Address - Fax:704-973-7835
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-13
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC12377101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional