Healthcare Provider Details

I. General information

NPI: 1841102381
Provider Name (Legal Business Name): KATHERINE HINTON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 CENTRAL AVE STE D1
AUGUSTA GA
30904-6709
US

IV. Provider business mailing address

3010 ENGLISH LN APT 730
EVANS GA
30809-9138
US

V. Phone/Fax

Practice location:
  • Phone: 706-843-6241
  • Fax:
Mailing address:
  • Phone: 706-843-6241
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberAPC011133
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: