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NPI Code Detail

MEDICARE: LISA HINKEL MIPRO LPC

MEDICARE:   LISA HINKEL MIPRO  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 Counselor2088LA

General Provider Information

NPI Number : 1528550308
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA HINKEL MIPRO LPC
Provider Business Mailing Address
First Line : 102 LAKEWOOD ESTATES DR # DT
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70131-8300
Country : US
Telephone Number : 504-390-1416
Fax Number :
Provider Business Practice Location Address
First Line : 2439 MANHATTAN BLVD STE 309
Second Line :
City : HARVEY
State : LA
Zip : 70058-5360
Country : US
Telephone Number : 504-390-1416
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2018
Last Update Date : 09/12/2018

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Directions to “ LISA HINKEL MIPRO LPC” Practice Location

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