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NPI Code Detail

MEDICARE: MS. LORI ELLEN HINZE MA, NCC, LPC

MEDICARE: MS. LORI ELLEN HINZE MA, NCC, LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor3959CO

General Provider Information

NPI Number : 1093909053
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LORI ELLEN HINZE MA, NCC, LPC
Provider Business Mailing Address
First Line : 5390 N ACADEMY BLVD STE 330
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80918-4176
Country : US
Telephone Number : 719-314-7623
Fax Number : 719-309-1295
Provider Business Practice Location Address
First Line : 5390 N ACADEMY BLVD STE 330
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80918-4176
Country : US
Telephone Number : 719-314-7623
Fax Number : 719-309-1295
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/04/2007
Last Update Date : 05/28/2024

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