Shanitta D Hines, is a
Counselor - Mental Health based in 302 Cherry Lane, California. Shanitta D Hines is licensed to practice in * (Not Available) (license number ) and her current practice location is
Victor Community Support Services, 302 Cherry Lane, California. She can be reached at her office (for appointments etc.) via phone at
(209) 647-6200.
NPI number for Shanitta D Hines is 1225640485 and her current mailing address is 9331 Blue Grass Dr, Stockton, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1225640485.
Healthcare Provider's Profile
| Full Name | Shanitta D Hines |
|---|
| Gender | Female |
|---|
| Speciality | Counselor - Mental Health |
|---|
| Location | Victor Community Support Services, 302 Cherry Lane, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1225640485
- Provider Enumeration Date: 08/19/2020
- Last Update Date: 08/19/2020
Medical Identifiers
Medical identifiers for Shanitta D Hines such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225640485 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shanitta D Hines is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Shanitta D Hines,
9331 Blue Grass Dr,
Stockton, CA 95210-4449
Ph: (707) 712-1060 | Shanitta D Hines,
Victor Community Support Services,
302 Cherry Lane, CA 95337
Ph: (209) 647-6200 |
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