Healthcare Provider Details

I. General information

NPI: 1962231514
Provider Name (Legal Business Name): MS. CHERYL O HINTON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2024
Last Update Date: 11/04/2024
Certification Date: 11/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1340 POYDRAS ST STE 1770
NEW ORLEANS LA
70112-5204
US

IV. Provider business mailing address

423 HICKORY LN
GRIFFIN GA
30223-1037
US

V. Phone/Fax

Practice location:
  • Phone: 561-897-3384
  • Fax:
Mailing address:
  • Phone: 404-226-4784
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code102X00000X
TaxonomyPoetry Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: