| Ava V Hinton Pllc | |
|
1058 W Club Blvd Ste 602 Durham NC 27701-1104 | |
| (919) 286-2283 | |
| (866) 433-8408 |
| Full Name | Ava V Hinton Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1058 W Club Blvd, Durham, North Carolina |
| Authorized Official Name and Position | Ava V Hinton (OWNER) |
| Authorized Official Contact | 9192863358 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ava V Hinton Pllc 312 E Alton St Durham NC 27707-3005 Ph: (919) 286-2283 | Ava V Hinton Pllc 1058 W Club Blvd Ste 602 Durham NC 27701-1104 Ph: (919) 286-2283 |
| NPI Number | 1811353451 |
|---|---|
| Provider Enumeration Date | 01/12/2016 |
| Last Update Date | 01/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811353451 | NPI | - | NPPES |
| 6604292 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 2655-A (North Carolina) | Secondary |
| 101YP2500X | Counselor - Professional | 8759 (North Carolina) | Primary |
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