=====================================================
General NPI Number Information
=====================================================
NPI Number | 1790130193
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SHAMIKA MONIQUE HINTON M.A
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/04/2016
-----------------------------------------------------
Last Update Date | 09/18/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 220 ATHENS WAY STE 320
-----------------------------------------------------
City | NASHVILLE
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37228-1311
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 615-320-1155
-----------------------------------------------------
Fax | 615-320-1177
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 220 ATHENS WAY STE 104
-----------------------------------------------------
City | NASHVILLE
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37228-1351
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 615-320-1155
-----------------------------------------------------
Fax | 615-320-1177
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 104100000X
-----------------------------------------------------
Taxonomy Name | Social Worker
-----------------------------------------------------
License Number | 16006
-----------------------------------------------------
License Number State | TN
-----------------------------------------------------