| Hinton Counseling Services Lcsw Pllc | |
|
6 Wierk Ave Liberty NY 12754-2102 | |
| (845) 237-3875 | |
| Not Available |
| Full Name | Hinton Counseling Services Lcsw Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 6 Wierk Ave, Liberty, New York |
| Authorized Official Name and Position | Jesse Lee Hinton (CEO/OWNER) |
| Authorized Official Contact | 8456658588 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hinton Counseling Services Lcsw Pllc 6 Wierk Ave Liberty NY 12754-2102 Ph: (845) 237-3875 | Hinton Counseling Services Lcsw Pllc 6 Wierk Ave Liberty NY 12754-2102 Ph: (845) 237-3875 |
| NPI Number | 1073395117 |
|---|---|
| Provider Enumeration Date | 10/13/2023 |
| Last Update Date | 10/13/2023 |
| Certification Date | 10/13/2023 |
| Medicare PECOS PAC ID | 1355798737 |
|---|---|
| Medicare Enrollment ID | O20231107000151 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073395117 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jesse Hinton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639525686 PECOS PAC ID: 2264889641 Enrollment ID: I20231107000183 |
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