MEDICARE: AUBREY HINTON LMFT

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	101Y00000X	Counselor	15262	AZ
2	101YM0800X	Mental Health Counselor	15262	AZ
3	101YP2500X	Professional Counselor	15262	AZ
4	106H00000X	Marriage & Family Therapist	15262	AZ

General Provider Information

NPI Number	:	1740767128
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AUBREY HINTON LMFT

Provider Business Mailing Address
First Line	:	1205 S ASH AVE
Second Line	:
City	:	TEMPE
State	:	AZ
Zip	:	85281-8638
Country	:	US
Telephone Number	:	602-633-5195
Fax Number	:

Provider Business Practice Location Address
First Line	:	7420 E CAMELBACK RD STE 101
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85251-3509
Country	:	US
Telephone Number	:	602-633-5195
Fax Number	:

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

Provider Enumeration Date	:	07/27/2018
Last Update Date	:	05/08/2023

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