Healthcare Provider Details

I. General information

NPI: 1801193172
Provider Name (Legal Business Name): RACHEL MARIE HINKLE M.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/22/2011
Last Update Date: 02/22/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3915 BRISTOL HWY SUITE 100
JOHNSON CITY TN
37601-1400
US

IV. Provider business mailing address

1294 MILLIGAN HWY #12
JOHNSON CITY TN
37601-5575
US

V. Phone/Fax

Practice location:
  • Phone: 423-283-6500
  • Fax: 423-283-6505
Mailing address:
  • Phone: 423-202-3801
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: