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NPI Code Detail

MEDICARE: MRS. CARMEN IRIS MAE HINDS LPC

MEDICARE: MRS. CARMEN IRIS MAE HINDS 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
1101YM0800XMental Health Counselor7151NC
2101YP2500XProfessional Counselor7151NC
3101Y00000XCounselor7151NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
16104765OTHERNCNC HEALTH CHOICE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1225269780
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CARMEN IRIS MAE HINDS LPC
Provider Business Mailing Address
First Line : PO BOX 60447
Second Line :
City : CHARLOTTE
State : NC
Zip : 28260-0447
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3545 WHITEHALL PARK DR STE 300
Second Line :
City : CHARLOTTE
State : NC
Zip : 28273-4179
Country : US
Telephone Number : 980-302-8850
Fax Number : 704-316-8118
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2009
Last Update Date : 06/20/2023

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