MEDICARE: MRS. LILLIAN M 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
1	101YP2500X	Professional Counselor	12783	TX

General Provider Information

NPI Number	:	1356539514
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LILLIAN M HINDS LPC

Provider Business Mailing Address
First Line	:	620 PARK LN
Second Line	:
City	:	HEWITT
State	:	TX
Zip	:	76643-3295
Country	:	US
Telephone Number	:	254-230-3024
Fax Number	:	254-471-5710

Provider Business Practice Location Address
First Line	:	6585 S FM 183
Second Line	:
City	:	EVANT
State	:	TX
Zip	:	76525-6868
Country	:	US
Telephone Number	:	254-471-5709
Fax Number	:	254-471-5710

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/11/2007
Last Update Date	:	10/11/2007

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