Healthcare Provider Details

I. General information

NPI: 1245192566
Provider Name (Legal Business Name): BRYAN HINMAN COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/25/2025
Last Update Date: 11/25/2025
Certification Date: 11/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1107 SHERIDAN RD
NORMAL IL
61761-4052
US

IV. Provider business mailing address

1107 SHERIDAN RD
NORMAL IL
61761-4052
US

V. Phone/Fax

Practice location:
  • Phone: 309-291-3081
  • Fax:
Mailing address:
  • Phone: 309-291-3081
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: BRYAN JAMES HINMAN
Title or Position: OWNER
Credential: LCPC
Phone: 309-291-3081