MEDICARE: ERIN F HINEK 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	007465	GA

General Provider Information

NPI Number	:	1558796276
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN F HINEK LPC

Provider Business Mailing Address
First Line	:	1954 AIRPORT RD # 1614
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30341-4956
Country	:	US
Telephone Number	:	404-590-1193
Fax Number	:

Provider Business Practice Location Address
First Line	:	1954 AIRPORT RD # 1614
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30341-4956
Country	:	US
Telephone Number	:	404-590-1193
Fax Number	:

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

Provider Enumeration Date	:	09/12/2013
Last Update Date	:	09/17/2024

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