Healthcare Provider Details

I. General information

NPI: 1235053810
Provider Name (Legal Business Name): EMMA CAROLINE HINCKLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 WILSON AVE
BROOKLYN NY
11237-2874
US

IV. Provider business mailing address

90 WILSON AVE
BROOKLYN NY
11237-2874
US

V. Phone/Fax

Practice location:
  • Phone: 925-989-8684
  • Fax: 925-989-8684
Mailing address:
  • Phone: 925-989-8684
  • Fax: 925-989-8684

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberP143314
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: